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Organization
MAIN DRUG INC
Active
Organization
MAIN DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MAIN RPH (PHARMACY MANAGER)
(334) 738-2020
Entity
Organization
Contact information
Practice address
302 PRAIRIE ST N, UNION SPRINGS, AL 36089-1417
(334) 738-2020
(334) 738-8050
Mailing address
PO BOX 432, UNION SPRINGS, AL 36089-0432
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
106460
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110332
OTHER ID NUMBER
—
05
—
100000731
—
AL
Enumeration date
10/11/2005
Last updated
02/04/2008
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