Organization
PARKWAY PHARMACY OF MOODY, INC.
Active
Other names
Parkway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TUCKER LEE MALONE PHARMD (PHARMACIST/OWNER)
(334) 444-0376
Entity
Organization
Contact information
Practice address
1021 CROSSROADS PLAZA DRIVE, MOODY, AL 35004-2615
(334) 444-0376
Mailing address
1021 CROSSROADS PLAZA DRIVE, MOODY, AL 35004-2615
(334) 444-0376
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114415
PHARMACY LICENSE NUMBER
AL
Enumeration date
09/19/2014
Last updated
09/19/2014
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