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Organization

MR DISCOUNT DRUGS OF BUTLER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREGORY KEITH MANLEY RPH (PHARMACIST)
(205) 459-2990
Entity
Organization

Contact information

Practice address
604 E PUSHMATAHA ST, BUTLER, AL 36904-2620
(205) 459-2990
Mailing address
604 E PUSHMATAHA ST, BUTLER, AL 36904-2620
(205) 459-2990

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
107036
AL
3336C0003X
Community/Retail Pharmacy
107036
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-54581
BCBS-ALABAMA
AL
Enumeration date
10/19/2005
Last updated
09/11/2025
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