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Organization
BEAUREGARD DRUGS INC
Active
Organization
BEAUREGARD DRUGS INC
Active
Other names
BEAUREGARD DRUGS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
TUCKER SIMMONS (PRESIDENT)
(334) 364-9993
Entity
Organization
Contact information
Practice address
7667 AL HIGHWAY 51, STE A, OPELIKA, AL 36804-2200
(334) 364-9993
(334) 364-9997
Mailing address
7667 AL HIGHWAY 51 STE A, OPELIKA, AL 36804-2200
(334) 364-9993
(334) 364-9997
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113939
AL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139875
—
AL
01
—
2136066
PK
—
Enumeration date
07/18/2012
Last updated
02/20/2017
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