Organization
EAGLE DRUGS LLC
Active
Other names
Eagle Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SMITH RPH (MEMBER)
(256) 276-4141
Entity
Organization
Contact information
Practice address
3705 HWY 431, ROANOKE, AL 36274
(334) 863-6337
Mailing address
PO BOX 607, ROANOKE, AL 36274-0607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113460
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136843
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/02/2010
Last updated
06/23/2011
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