Organization
JULIAN D. MADDOX INC. DBA GLOVER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN D. MADDOX (PHARMACIST)
(205) 483-9233
Entity
Organization
Contact information
Practice address
100 MAIN ST, CORDOVA, AL 35550-1413
(205) 483-9233
Mailing address
100 MAIN ST, CORDOVA, AL 35550-1413
(205) 483-9233
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
104617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001767
—
AL
Enumeration date
07/25/2006
Last updated
06/13/2008
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