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Organization

DOUGLAS DISCOUNT PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JIMMY BRUCE GANN JR. RPH (PHARMACIST)
(256) 593-1750
Entity
Organization

Contact information

Practice address
9461 AL HIGHWAY 75 STE A, HORTON, AL 35980-8399
(256) 593-1750
(256) 593-1711
Mailing address
PO BOX 28, DOUGLAS, AL 35964
(256) 593-1750
(256) 593-1711

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100002809
AL
Enumeration date
11/08/2006
Last updated
12/16/2020
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