Organization
MONTGOMERY CITY DRUG INC
Active
Other names
Montgomery City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
HAMP RUSSELL (PHARMACIST OWNER)
(334) 263-6144
Entity
Organization
Contact information
Practice address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Mailing address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137198
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/20/2006
Last updated
07/11/2011
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