Organization
MOULTRIE PHARMACY AT LANGTOWN LLC
Active
Other names
Moultrie Pharmacy at Langtown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DAVID MOULTRIE PHARMD (OWNER)
(256) 566-3174
Entity
Organization
Contact information
Practice address
20332 AL HIGHWAY 33, MOULTON, AL 35650-9204
(256) 566-3174
(256) 350-3366
Mailing address
1380 OLD HIGHWAY 24, TRINITY, AL 35673-5600
(256) 566-3174
(256) 350-3366
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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