Organization
D AND K PHARMACY INC
Active
Other names
D AND K INC
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRIUS PARKS (PRESIDENT)
(334) 548-6241
Entity
Organization
Contact information
Practice address
860 W FAIRVIEW AVE, MONTGOMERY, AL 36108-4117
(334) 799-1489
(334) 375-4723
Mailing address
PO BOX 250210, MONTGOMERY, AL 36125-0210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112816
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133885
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
100003706
—
AL
Enumeration date
08/10/2006
Last updated
08/31/2007
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