# BOAZ DISCOUNT DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821092230
- **Authorized official:** MR. CARY DALE JOHNSON III (PRESIDENT)
- **Authorized official phone:** (256) 593-6546

## Contact information

- **Practice address:** 10460 ALABAMA HWY 168, SUITE 1, BOAZ, AL 35957-1951
- **Practice address phone:** (256) 593-6546
- **Practice address fax:** (256) 593-3137
- **Mailing address:** PO BOX 573, BOAZ, AL 35957-0573
- **Mailing address phone:** (256) 593-6546
- **Mailing address fax:** (256) 593-3137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 101645 | AL | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 10/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101143 | NABP\# | AL |
| 05 | — | 100001098 | — | AL |