Organization
CITY DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOSEA R DAILEY RPH (PRESIDENT)
(251) 578-1050
Entity
Organization
Contact information
Practice address
110 LEWIS ST, EVERGREEN, AL 36401-3317
(251) 578-1050
Mailing address
110 LEWIS ST, EVERGREEN, AL 36401-3317
(251) 578-1050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102440
AL
333600000X
Pharmacy
102440
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106345
NABP
AL
Enumeration date
01/16/2007
Last updated
09/11/2025
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