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Organization
PRATTS STATION LLC
Active
Organization
PRATTS STATION LLC
Active
Other names
Clio Drug Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD LAMAR JOWERS RPH (OWNER PHARMACIST)
(334) 397-2023
Entity
Organization
Contact information
Practice address
1199 BLUE SPRINGS ST, CLIO, AL 36017-0460
(334) 397-2023
(334) 397-2029
Mailing address
PO BOX 460, CLIO, AL 36017-0460
(334) 397-2023
(334) 397-2029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
111145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002949
—
AL
Enumeration date
12/27/2006
Last updated
06/20/2008
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