Organization
DAPHNE PHARMACY LLC
Active
Other names
Daphne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES COTTRELL (PRESIDENT)
(251) 509-0616
Entity
Organization
Contact information
Practice address
2101 US HIGHWAY 98, STE K, DAPHNE, AL 36526-4295
(251) 509-0616
(251) 509-0620
Mailing address
2101 US HIGHWAY 98, STE K, DAPHNE, AL 36526-4295
(251) 509-0616
(251) 509-0620
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114106
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140413
PK
—
Enumeration date
05/03/2013
Last updated
05/31/2013
Update your record
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