Organization
EMM DEE DRUG CO INC
Active
Other names
ATHENS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D MAUND RPH (OWNER)
(256) 232-2242
Entity
Organization
Contact information
Practice address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Mailing address
705 W MARKET ST, ATHENS, AL 35611-2456
(256) 232-2242
(256) 230-2613
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101280
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050015
—
AL
01
—
51029228
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/04/2006
Last updated
05/31/2012
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