Moultrie Pharmacy At Caddo

LBN: Moultrie Pharmacy At Caddo Llc
Moultrie Pharmacy At Caddo is an health care organization with primary practice located at 22747 Al Highway 24 Ste D , Moulton AL 35650-8102. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Moultrie Pharmacy At Caddo Llc can be contacted via phone (256) 905-0030, or through Moultrie, Benjamin David via phone (256) 566-3174.

Contact Information

Primary practice address
22747 Al Highway 24 Ste D Moulton AL 35650-8102
Phone: (256) 905-0030
Fax: (256) 905-0049
Website:
Map and Directions
Authorized official contact:
Name: Moultrie, Benjamin David PHARMD
Phone: (256) 566-3174

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1841941093
LBN Legal business name Moultrie Pharmacy At Caddo Llc
DBA Doing business as Moultrie Pharmacy At Caddo
Authorized official Moultrie, Benjamin David PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2022
Last updated Jan 10th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers