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Organization

ESB INVESTMENTS LLC

Active
Other names
Center Drugs of Daleville
Organization subpart
No

Provider details

NPI number
Authorized official
STACY BOUCHER (OWNER/PRESIDENT/PHARMACIST)
(334) 763-0146
Entity
Organization

Contact information

Practice address
181 HIGHWAY 84 W, DALEVILLE, AL 36322-9113
(334) 598-4242
(334) 598-4240
Mailing address
181 HIGHWAY 84 W, DALEVILLE, AL 36322-9113
(334) 598-4242
(334) 598-4240

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
113893
AL
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
137765
AL
01
2134906
PK
Enumeration date
04/30/2012
Last updated
02/20/2017
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