Organization
R RAYMOND PALMERX INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND PALMER (OWNER/PHARMACIST)
(251) 679-9095
Entity
Organization
Contact information
Practice address
311A SHELTON BEACH RD, SARALAND, AL 36571-2717
(251) 679-9095
(251) 675-7415
Mailing address
311A SHELTON BEACH RD, SARALAND, AL 36571-2717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
110632
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126498
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/15/2006
Last updated
10/03/2008
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