# BEAUREGARD DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BEAUREGARD DRUGS, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639424328
- **Authorized official:** TUCKER SIMMONS (PRESIDENT)
- **Authorized official phone:** (334) 364-9993

## Contact information

- **Practice address:** 7667 AL HIGHWAY 51, STE A, OPELIKA, AL 36804-2200
- **Practice address phone:** (334) 364-9993
- **Practice address fax:** (334) 364-9997
- **Mailing address:** 7667 AL HIGHWAY 51 STE A, OPELIKA, AL 36804-2200
- **Mailing address phone:** (334) 364-9993
- **Mailing address fax:** (334) 364-9997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113939 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 02/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 139875 | — | AL |
| 01 | — | 2136066 | PK | — |