Organization
ABBEVILLE PHARMACY LLC
Active
Other names
Dalton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DALTON RPH (OWNER)
(334) 585-0246
Entity
Organization
Contact information
Practice address
615 OZARK RD, SUITE B, ABBEVILLE, AL 36310-2629
(334) 585-0246
(334) 585-0336
Mailing address
615 OZARK RD, SUITE B, ABBEVILLE, AL 36310-2629
(334) 585-0246
(334) 585-0336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113492
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126466
—
AL
01
—
2129040
PK
—
Enumeration date
02/26/2011
Last updated
10/06/2020
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