Organization
DOTHAN PHARMACY INC
Active
Other names
Dothan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN COOK RPH (OWNER/PHARMACIST)
(334) 479-8448
Entity
Organization
Contact information
Practice address
301 W INEZ RD STE 8, DOTHAN, AL 36301-5678
(334) 479-8448
(334) 479-8108
Mailing address
301 W INEZ RD STE 8, DOTHAN, AL 36301-5678
(334) 479-8448
(334) 479-8108
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114767
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207314
—
AL
01
—
2174323
PK
—
Enumeration date
12/01/2017
Last updated
10/04/2021
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