Organization
DCA PHARMACY
Active
Other names
DCA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE GAFNEA (MANAGER)
(205) 562-7912
Entity
Organization
Contact information
Practice address
15329 HIGHWAY 11 N, COALING, AL 35453-2408
(205) 562-7912
(205) 562-7913
Mailing address
PO BOX 6, COALING, AL 35449-0006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
114191
AL
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141837
PK
—
Enumeration date
09/05/2013
Last updated
09/05/2013
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