Organization
HARTFORD PHARMACY LLC
Active
Other names
Dalton Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DALTON (OWNER)
(334) 797-7992
Entity
Organization
Contact information
Practice address
112 S 4TH AVE, HARTFORD, AL 36344-1615
(334) 588-2442
(334) 588-2447
Mailing address
112 S 4TH AVE, HARTFORD, AL 36344-1615
(334) 588-2442
(334) 588-2447
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114077
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148150
—
AL
01
—
2139751
PK
—
Enumeration date
04/04/2013
Last updated
10/06/2020
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