Organization
VALLEY DRUG COMPANY #2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ISSA ELAYAN (PRESIDENT)
(256) 355-6225
Entity
Organization
Contact information
Practice address
1101 16TH AVE. SE, DECATUR, AL 35601-3594
(256) 355-6225
Mailing address
1101 16TH AVE SE, DECATUR, AL 35601-3594
(256) 355-6225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
109885
AL
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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