Organization
PRATTS STATION LLC
Active
Other names
Clio Drug Co
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD LAMAR JOWERS RPH (OWNER PHARMACIST)
(334) 397-2023
Entity
Organization
Contact information
Practice address
1199 BLUE SPRINGS ST, CLIO, AL 36017-0460
(334) 397-2023
(334) 397-2029
Mailing address
PO BOX 460, CLIO, AL 36017-0460
(334) 397-2023
(334) 397-2029
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
111145
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002949
—
AL
Enumeration date
12/27/2006
Last updated
06/20/2008
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