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Organization
WIREGRASS DRUGS INC
Active
Organization
WIREGRASS DRUGS INC
Active
Other names
Medical Arts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY C ALLIGOOD (CORPORATE SECRETARY)
(229) 435-4571
Entity
Organization
Contact information
Practice address
313 E PUSHMATAHA ST, BUTLER, AL 36904-2533
(205) 459-3710
(205) 459-3970
Mailing address
PO BOX 72188, ALBANY, GA 31708-2188
(229) 435-4571
(229) 317-7706
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
110125
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00105418
NABP
AL
05
—
009999460
—
AL
05
—
100001121
—
AL
Enumeration date
02/25/2006
Last updated
06/21/2023
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