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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