Organization
CLOVERLAND DRUGS, INC
Active
Other names
CAROL VILLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GLENN SAALWAECHTER (PRESIDENT/OWNER)
(334) 279-7413
Entity
Organization
Contact information
Practice address
5350 ATLANTA HWY # C, MONTGOMERY, AL 36109-3324
(334) 279-7413
(334) 279-7418
Mailing address
5350 ATLANTA HWY # C, MONTGOMERY, AL 36109-3324
(334) 279-7413
(334) 279-7418
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
111672
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002819
—
AL
Enumeration date
11/02/2006
Last updated
06/14/2012
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