Organization
OLIGOI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BRUNSON (PHCY DIR)
(256) 732-4565
Entity
Organization
Contact information
Practice address
25462 HL HWY 127, ELKMONT, AL 35620
(256) 732-4565
(256) 732-4988
Mailing address
PO BOX 277, ELKMONT, AL 35620-0277
(256) 732-4565
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112774
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995866
PK
—
Enumeration date
07/30/2006
Last updated
01/19/2018
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