Organization
EMM DEE DRUG CO INC
Active
Other names
ATHENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MAUND RPH (OWNER)
(256) 232-2242
Entity
Organization
Contact information
Practice address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Mailing address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
101280
AL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100898
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100000145
—
AL
Enumeration date
09/16/2006
Last updated
12/17/2012
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