Organization
AVALON PHARMACY, INC
Active
Other names
avalon discount drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MARK RAY RPH (RPH)
(256) 314-1001
Entity
Organization
Contact information
Practice address
2400 AVALON AVE, MUSCLE SHOALS, AL 35661-3164
(256) 314-1001
(256) 314-1002
Mailing address
2400 AVALON AVE, MUSCLE SHOALS, AL 35661-3164
(256) 314-1001
(256) 314-1002
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
110779
AL
3336C0003X
Community/Retail Pharmacy
Primary
110779
AL
3336C0004X
Compounding Pharmacy
110779
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009703940
—
AL
05
—
100002842
—
AL
Enumeration date
02/28/2007
Last updated
03/11/2008
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