Organization
MCCONAGHY DRUG STORE, INC
Active
Other names
McIntosh Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY WARD DAVIDSON (DME DIRECTOR)
(251) 944-8227
Entity
Organization
Contact information
Practice address
61 RIVER RD, MCINTOSH, AL 36553
(251) 944-8227
(251) 944-8226
Mailing address
PO BOX 247, MC INTOSH, AL 36553-0247
(251) 944-8227
(251) 944-8226
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
106354
AL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
106354
AL
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000054843
—
AL
Enumeration date
12/01/2006
Last updated
11/24/2021
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