Organization
MEDICAL ARTS PHARMACY INC
Active
Other names
MEDICAL ARTS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROBERSON RPH (OWNER AND PHARMACIST)
(334) 897-2511
Entity
Organization
Contact information
Practice address
1190 HIGHLAND DR, ELBA, AL 36323-1434
(334) 897-2511
(334) 897-2511
Mailing address
1190 HIGHLAND DR, ELBA, AL 36323-1434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
106617
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111651
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100001184
—
AL
Enumeration date
10/13/2006
Last updated
01/06/2011
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