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Organization
MODERN DRUG OF BAYOU LA BATRE INC
Active
Organization
MODERN DRUG OF BAYOU LA BATRE INC
Active
Other names
MODERN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ACYE PITTMAN BSPH (PHARMACIST)
(251) 824-2115
Entity
Organization
Contact information
Practice address
13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
(251) 824-2115
(251) 824-4961
Mailing address
13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
(251) 824-2115
(251) 824-4961
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11511
AL
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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