Organization
THE DRUG STORE CO INC.
Active
Other names
The Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
LEE E DAVIS (OWNER)
(205) 652-9595
Entity
Organization
Contact information
Practice address
108 LAFAYETTE STREET, LIVINGSTON, AL 35470-0000
(205) 652-9595
(205) 652-6111
Mailing address
108 LAFAYETTE STREET, PO BOX 1246, LIVINGSTON, AL 35470-0000
(205) 652-9595
(205) 652-6111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
112084
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
112084
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
112084
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113011
NCPDP
AL
Enumeration date
07/23/2007
Last updated
05/22/2008
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