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Organization
MOULTRIE PHARMACY AT LANGTOWN LLC
Active
Organization
MOULTRIE PHARMACY AT LANGTOWN LLC
Active
Other names
Moultrie Pharmacy at Langtown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DAVID MOULTRIE PHARMD (OWNER)
(256) 566-3174
Entity
Organization
Contact information
Practice address
20332 AL HIGHWAY 33, MOULTON, AL 35650-9204
(256) 566-3174
(256) 350-3366
Mailing address
1380 OLD HIGHWAY 24, TRINITY, AL 35673-5600
(256) 566-3174
(256) 350-3366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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