# KATE POWELL JORDAN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE MEDICINE CHEST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396756961
- **Authorized official:** ALLEN JORDAN RPH (MANAGER)
- **Authorized official phone:** (251) 275-1000

## Contact information

- **Practice address:** 126 MAIN ST, GROVE HILL, AL 36451-3144
- **Practice address phone:** (251) 275-1000
- **Practice address fax:** (251) 275-1003
- **Mailing address:** PO BOX 69, GROVE HILL, AL 36451-0069
- **Mailing address phone:** (251) 275-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 111046 | AL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100002866 | — | AL |
| 01 | — | 1993922 | PK | — |