Organization
MR DISCOUNT DRUGS OF BUTLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY KEITH MANLEY (PRESIDENT)
(205) 459-2990
Entity
Organization
Contact information
Practice address
604 E PUSHMATAHA ST, BUTLER, AL 36904-2620
(205) 459-2990
Mailing address
604 E PUSHMATAHA ST, BUTLER, AL 36904-2620
(205) 459-2990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
107036
AL
3336C0003X
Community/Retail Pharmacy
107036
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-54581
BCBS-AL
AL
Enumeration date
02/21/2007
Last updated
09/11/2025
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