# MALLETTE DRUG COMPANY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MALLETTE DRUG COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922177815
- **Authorized official:** BOBBY SCOTT RPH (OWNER/PRES)
- **Authorized official phone:** (334) 222-1141

## Contact information

- **Practice address:** 837 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
- **Practice address phone:** (334) 222-1141
- **Practice address fax:** (334) 222-8361
- **Mailing address:** PO BOX 327, ANDALUSIA, AL 36420-1205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 106470 | AL | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 02/11/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0103779 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 100000373 | — | AL |