# DAUGHTRY PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ted's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487673778
- **Authorized official:** MRS. SUSANNAH C. DAUGHTRY R.PH. (OWNER/PHARMACY MANAGER)
- **Authorized official phone:** (334) 685-2703

## Contact information

- **Practice address:** 405 N MAIN ST, OPP, AL 36467-1606
- **Practice address phone:** (334) 493-4541
- **Practice address fax:** (334) 493-9513
- **Mailing address:** 405 N MAIN ST, OPP, AL 36467-1606
- **Mailing address phone:** (334) 493-4541

## Taxonomy

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

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 09/21/2009