Organization
SAND DRUGS INC
Active
Other names
Pay-Less Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE LEE GOWEN (OWNER/ RPH IN CHARGE)
(256) 353-5011
Entity
Organization
Contact information
Practice address
1206 7TH ST SE, DECATUR, AL 35601-3338
(256) 353-5011
(256) 355-5152
Mailing address
1206 7TH ST SE, DECATUR, AL 35601-3338
(256) 353-5011
(256) 355-5152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052917
—
AL
01
—
51531230
BLUE CROSS BLUE SHIELD AL
AL
Enumeration date
07/10/2006
Last updated
03/19/2019
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