Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MOULTRIE PHARMACY AT CADDO LLC
Active
Organization
MOULTRIE PHARMACY AT CADDO LLC
Active
Other names
Moultrie Pharmacy at Caddo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DAVID MOULTRIE PHARMD (OWNER)
(256) 566-3174
Entity
Organization
Contact information
Practice address
22747 AL HIGHWAY 24 STE D, MOULTON, AL 35650-8102
(256) 905-0030
(256) 905-0049
Mailing address
22747 AL HIGHWAY 24 STE D, MOULTON, AL 35650-8102
(256) 905-0030
(256) 905-0049
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers