# CITRONELLE DRUG CO INC

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

## Provider details

- **NPI number:** 1871622555
- **Authorized official:** ROBERT WAYNE JEFFUS RPH (PRESIDENT OWNER PHARMACIST)
- **Authorized official phone:** (251) 866-5522

## Contact information

- **Practice address:** 19240 MOBILE ST, CITRONELLE, AL 36522
- **Practice address phone:** (251) 866-5522
- **Practice address fax:** (251) 866-2335
- **Mailing address:** PO BOX 386, CITRONELLE, AL 36522-0386
- **Mailing address phone:** (251) 866-5522
- **Mailing address fax:** (251) 866-2335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 10811 | AL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 02/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000334 | — | AL |