# DRAKE-HOGAN PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DRAKE HOGAN PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295091197
- **Authorized official:** JONATHAN DUNNING (CEO)
- **Authorized official phone:** (205) 453-0934

## Contact information

- **Practice address:** 2401 15TH AVE N, BIRMINGHAM, AL 35234-2833
- **Practice address phone:** (205) 453-9096
- **Practice address fax:** (205) 453-9097
- **Mailing address:** 1919 OXMOOR RD STE 206, HOMEWOOD, AL 35209-3502
- **Mailing address phone:** (205) 453-0934
- **Mailing address fax:** (205) 453-0940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113878 | AL | Yes |

## Other

- **Enumeration date:** 04/04/2012
- **Last updated:** 07/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0137744 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |