Organization
MALLETTE DRUG COMPANY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY JOHN SCOTT RPH (OWNER CHIEF PHARMACIST)
(334) 222-1141
Entity
Organization
Contact information
Practice address
837 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-1141
(334) 222-8361
Mailing address
PO BOX 327, ANDALUSIA, AL 36420-1205
(334) 222-1141
(334) 222-8361
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-50553
BCBSAL DMERC SUPPLIER
AL
Enumeration date
03/15/2007
Last updated
08/22/2020
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