Organization
APOTHECARY SALES INC
Active
Other names
Southern Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
ALMEDA BORDEN PHARM D (SUPERVISING PHARMACIST)
(256) 340-3700
Entity
Organization
Contact information
Practice address
3220 HIGHWAY 31 S STE A2, DECATUR, AL 35603-1731
(256) 340-3700
(256) 340-3730
Mailing address
PO BOX 5694, DECATUR, AL 35601-0694
(256) 340-3700
(256) 340-3730
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
08975/7.1
MS
333600000X
Pharmacy
Primary
113687
AL
333600000X
Pharmacy
27640
TX
3336C0003X
Community/Retail Pharmacy
PH 25603
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137455
PK
—
Enumeration date
04/09/2012
Last updated
02/24/2015
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