# ABBEVILLE PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dalton Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700183753
- **Authorized official:** JOE DALTON RPH (OWNER)
- **Authorized official phone:** (334) 585-0246

## Contact information

- **Practice address:** 615 OZARK RD, SUITE B, ABBEVILLE, AL 36310-2629
- **Practice address phone:** (334) 585-0246
- **Practice address fax:** (334) 585-0336
- **Mailing address:** 615 OZARK RD, SUITE B, ABBEVILLE, AL 36310-2629
- **Mailing address phone:** (334) 585-0246
- **Mailing address fax:** (334) 585-0336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113492 | AL | Yes |

## Other

- **Enumeration date:** 02/26/2011
- **Last updated:** 10/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 126466 | — | AL |
| 01 | — | 2129040 | PK | — |