Organization
POLK'S CROSSGATE DISCOUNT DRUGS INC.
Active
Other names
PMO PHARMACY MGMT DOTHAN
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET HUDSON RPH (MANAGING PHARMACIST)
(334) 699-3900
Entity
Organization
Contact information
Practice address
3119 WESLEY WAY STE 6, STE 6, DOTHAN, AL 36305-2000
(334) 699-3900
(334) 699-3902
Mailing address
3119 WESLEY WAY, STE 6, DOTHAN, AL 36305-2002
(334) 699-3900
(334) 699-3902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112818
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031628800
—
FL
05
—
100003723
—
AL
01
—
1995930
PK
—
05
—
794290082A
—
GA
Enumeration date
07/14/2006
Last updated
04/12/2017
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