Organization
PELL CITY PHARMACY INC
Active
Other names
Pell City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TUCKER MALONE (PHARMACIST/OWNER)
(334) 444-0376
Entity
Organization
Contact information
Practice address
1027 MARTIN ST S, PELL CITY, AL 35128-2360
(205) 338-6080
(205) 338-6082
Mailing address
1027 MARTIN ST S, PELL CITY, AL 35128-2360
(205) 338-6080
(205) 338-6082
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113272
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073748877
—
AL
01
—
2120548
PK
—
Enumeration date
05/21/2009
Last updated
02/20/2017
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