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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