Organization
MEDI-AGE PHARMACEUTICALS INC
Active
Other names
Rick's Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICKY A BEARDEN R. PH. (PRESIDENT/PHARMACIST)
(256) 538-5850
Entity
Organization
Contact information
Practice address
1433 3RD ST SW, ATTALLA, AL 35954-1132
(256) 538-5850
(256) 538-1860
Mailing address
1433 3RD ST SW, P.O. BOX 490, ATTALLA, AL 35954-1132
(256) 538-5850
(256) 538-1860
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
108453
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001978
—
AL
01
—
NCPDP
NATIONAL PHARMACY PROVIDE
—
Enumeration date
08/18/2006
Last updated
03/16/2012
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