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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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