Organization
ESCAMBIA DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEWAYNE BARNETT REG PHARMACIST (REG PHARMACIST INS TRES OF CORPERAT)
(251) 368-3191
Entity
Organization
Contact information
Practice address
108 S MAIN STREET, ATMORE, AL 36502-2446
(251) 368-3191
(251) 368-1916
Mailing address
108 S MAIN STREET, ATMORE, AL 36502-2446
(251) 368-3191
(251) 368-1916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
103720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#103720
ALA CONTROLLED SUBSTANCE
—
01
—
0104050
NABP
—
Enumeration date
01/30/2007
Last updated
03/07/2023
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