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Organization
MONTGOMERY CITY DRUG INC
Active
Organization
MONTGOMERY CITY DRUG INC
Active
Other names
Montgomery City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
HAMP RUSSELL (PHARMACIST OWNER)
(334) 263-6144
Entity
Organization
Contact information
Practice address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Mailing address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137198
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
07/11/2011
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