Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Southeast Medicine Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W DRAKE PHARMD (OUTPATIENT PHARMACY MANAGER)
(334) 793-8116
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
(334) 793-8116
(334) 712-3701
Mailing address
1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
(334) 793-8116
(334) 712-3701
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114719
AL
Other
Enumeration date
05/26/2017
Last updated
11/12/2024
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