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Organization
MEDICAL ARTS PHARMACY INC
Active
Organization
MEDICAL ARTS PHARMACY INC
Active
Other names
MEDICAL ARTS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROBERSON RPH (OWNER AND PHARMACIST)
(334) 897-2511
Entity
Organization
Contact information
Practice address
1190 HIGHLAND DR, ELBA, AL 36323-1434
(334) 897-2511
(334) 897-2511
Mailing address
1190 HIGHLAND DR, ELBA, AL 36323-1434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
106617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100001184
—
AL
Enumeration date
10/13/2006
Last updated
01/06/2011
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