# MODERN DRUG OF BAYOU LA BATRE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MODERN DRUG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679610802
- **Authorized official:** JAMES ACYE PITTMAN BSPH (PHARMACIST)
- **Authorized official phone:** (251) 824-2115

## Contact information

- **Practice address:** 13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
- **Practice address phone:** (251) 824-2115
- **Practice address fax:** (251) 824-4961
- **Mailing address:** 13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
- **Mailing address phone:** (251) 824-2115
- **Mailing address fax:** (251) 824-4961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 11511 | AL | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020