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Organization

ORANGE BEACH FAMILY PHARMACY

Active
Other names
FAMILY PHARMACY OF ORANGE BEACH
Organization subpart
No

Provider details

NPI number
Authorized official
PATTISUE CARRANZA RPH, CDE (PRESIDENT/OWNER)
(251) 981-2255
Entity
Organization

Contact information

Practice address
25299 A CANAL ROAD #6, ORANGE BEACH, AL 36561
(251) 981-2255
(251) 981-2282
Mailing address
25299 A CANAL ROAD #6, ORANGE BEACH, AL 36561
(251) 981-2255
(251) 981-2282

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
110764
AL
333600000X
Pharmacy
Primary
110764
AL

Other

Enumeration date
06/09/2005
Last updated
01/04/2008
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