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Organization

NEWMAN PHARMACY/MEDISTAT

Active
Other names
A&R Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAINE BLEDSOE PLEDGER (PHARMACY MANAGER)
(251) 450-0808
Entity
Organization

Contact information

Practice address
R2 AVE LUIS MUNOZ MARIN, CAGUAS, PR 00725-6461
(787) 286-8545
(787) 286-8547
Mailing address
755B MCRAE AVE, MOBILE, AL 36606-4538
(251) 450-0808
(251) 471-3673

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2006003892
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51060781
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/27/2006
Last updated
08/22/2020
About Stedi
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  • EDI platform