Organization
PIKE DRUG COMPANY LLC
Active
Other names
Pike Drug
Organization subpart
No
Provider details
NPI number
Authorized official
KHADIJA F CALDWELL (OWNER)
(334) 536-0205
Entity
Organization
Contact information
Practice address
132 S MAIN ST STE 1, BRUNDIDGE, AL 36010-1809
(334) 536-0205
Mailing address
132 S MAIN ST STE 1, BRUNDIDGE, AL 36010-1809
(334) 536-0205
(334) 536-0206
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227761
—
AL
Enumeration date
12/07/2018
Last updated
06/13/2022
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