Organization
VALLEY DRUG COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ISSA ELAYAN (PRESIDENT)
(256) 355-8015
Entity
Organization
Contact information
Practice address
1302 SOMERVILLE RD SE, DECATUR, AL 35601-4337
(256) 355-8015
(256) 355-7684
Mailing address
1302 SOMERVILLE RD SE, DECATUR, AL 35601-4337
(256) 355-8015
(256) 355-7684
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
109900
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001288
—
AL
Enumeration date
10/17/2006
Last updated
06/03/2013
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