Organization
MONTGOMERY DRUG COMPANY INC
Active
Other names
ADAMS STREET DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS PHUNG (PHARMACIST IN CHARGE)
(334) 272-0802
Entity
Organization
Contact information
Practice address
934 ADAMS AVE, MONTGOMERY, AL 36104-4422
(334) 264-3496
(334) 264-3410
Mailing address
934 ADAMS AVE, MONTGOMERY, AL 36104-4422
(334) 264-3496
(334) 264-3410
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
101020
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002472
—
AL
01
—
1987966
PK
—
Enumeration date
10/20/2006
Last updated
11/22/2016
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