Organization
MEDICAL ARTS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BOND (PRESIDENT AND OWNER)
(334) 794-4191
Entity
Organization
Contact information
Practice address
219 FORTNER ST, DOTHAN, AL 36301-2405
(334) 794-4191
(334) 793-5742
Mailing address
219 FORTNER ST, DOTHAN, AL 36301-2405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
110705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050286
—
AL
01
—
0106078
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/16/2007
Last updated
09/12/2007
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