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Organization

MED360RX

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEVIN KEITH SMITH PHARM.D. (MANAGING PARTNER PHARMACIST)
(205) 495-4907
Entity
Organization

Contact information

Practice address
125 BOB LAWRENCE DRIVE SUITE C, WINFIELD, AL 35594
(205) 487-8020
(205) 487-8022
Mailing address
PO BOX 1677, WINFIELD, AL 35594-1416
(205) 487-8020
(205) 487-8022

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114766
AL
3336C0003X
Community/Retail Pharmacy
114766

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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