Organization
DURA-MED SOUTHEAST, INC.
Active
Other names
Flomaton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FLOYD (PRESIDENT)
(850) 675-2448
Entity
Organization
Contact information
Practice address
174 HWY 113, FLOMATON, AL 36441
(251) 296-4224
(251) 296-4226
Mailing address
PO BOX 1018, FLOMATON, AL 36441-1018
(251) 296-4224
(251) 296-4226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
748
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935181
—
AL
05
—
031884101
—
FL
Enumeration date
04/30/2007
Last updated
01/09/2009
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