Organization
STACEYS DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY K MOSLEY RPH (PRESIDENT)
(251) 937-5539
Entity
Organization
Contact information
Practice address
109 COURTHOUSE SQ, BAY MINETTE, AL 36507-4813
(251) 937-5539
Mailing address
109 COURTHOUSE SQ, BAY MINETTE, AL 36507-4813
(251) 937-5539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7186
AL
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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