Organization
PLEASANT GROVE DRUGS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ANDREW RUDOLPH (PRESIDENT)
(205) 744-9400
Entity
Organization
Contact information
Practice address
611 PLEASANT GROVE RD, PLEASANT GROVE, AL 35127-2801
(205) 744-9400
Mailing address
611 PLEASANT GROVE RD, PLEASANT GROVE, AL 35127-2801
(205) 744-9400
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
111591
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0129393
NABP
—
Enumeration date
01/18/2007
Last updated
03/07/2023
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