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Organization
MCCONAGHY DRUG STORE, INC
Active
Organization
MCCONAGHY DRUG STORE, INC
Active
Other names
McIntosh Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY WARD DAVIDSON (DME DIRECTOR)
(251) 944-8227
Entity
Organization
Contact information
Practice address
61 RIVER RD, MCINTOSH, AL 36553
(251) 944-8227
(251) 944-8226
Mailing address
PO BOX 247, MC INTOSH, AL 36553-0247
(251) 944-8227
(251) 944-8226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
106354
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
106354
AL
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054843
—
AL
Enumeration date
12/01/2006
Last updated
11/24/2021
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