# AVALON PHARMACY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** avalon discount drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871620526
- **Authorized official:** MR. JAMES MARK RAY RPH (RPH)
- **Authorized official phone:** (256) 314-1001

## Contact information

- **Practice address:** 2400 AVALON AVE, MUSCLE SHOALS, AL 35661-3164
- **Practice address phone:** (256) 314-1001
- **Practice address fax:** (256) 314-1002
- **Mailing address:** 2400 AVALON AVE, MUSCLE SHOALS, AL 35661-3164
- **Mailing address phone:** (256) 314-1001
- **Mailing address fax:** (256) 314-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 110779 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 110779 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | 110779 | AL | — |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 03/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009703940 | — | AL |
| 05 | — | 100002842 | — | AL |