Organization
MODERN DRUG OF BAYOU LA BATRE INC
Active
Other names
MODERN DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ACYE PITTMAN BSPH (PHARMACIST)
(251) 824-2115
Entity
Organization
Contact information
Practice address
13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
(251) 824-2115
(251) 824-4961
Mailing address
13845 S WINTZELL AVE, BAYOU LA BATRE, AL 36509-2401
(251) 824-2115
(251) 824-4961
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
11511
AL
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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