Organization
CITY DRUGS OF GROVE HILL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE D. HARRIS R.PH. (PRESIDENT, MANAGER)
(251) 275-3512
Entity
Organization
Contact information
Practice address
123 S. JACKSON ST, GROVE HILL, AL 36451
(251) 275-3416
(251) 275-8190
Mailing address
123 S. JACKSON ST, GROVE HILL, AL 36451
(251) 275-3416
(251) 275-8190
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102420
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000050259
—
AL
05
—
100000506
—
AL
Enumeration date
10/04/2006
Last updated
10/08/2008
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