Organization
JAMES JOSEPH MRACEK
Active
Other names
Joe's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J MRACEK RPH (PHARMACIST OWNER)
(334) 567-5315
Entity
Organization
Contact information
Practice address
809 JACKSON TRACE, WETUMPKA, AL 36092
(334) 567-5315
(334) 514-0291
Mailing address
PO BOX 766, WETUMPKA, AL 36092-0766
(334) 567-5315
(334) 514-0291
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
105635
AL
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6961
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052660
—
AL
Enumeration date
12/14/2006
Last updated
07/16/2008
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