Organization
BOAZ DISCOUNT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY DALE JOHNSON III (PRESIDENT)
(256) 593-6546
Entity
Organization
Contact information
Practice address
10460 ALABAMA HWY 168, SUITE 1, BOAZ, AL 35957-1951
(256) 593-6546
(256) 593-3137
Mailing address
PO BOX 573, BOAZ, AL 35957-0573
(256) 593-6546
(256) 593-3137
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
101645
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101143
NABP#
AL
05
—
100001098
—
AL
Enumeration date
06/13/2005
Last updated
10/31/2011
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