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Contact Information

ABBEVILLE PHARMACY LLC
615 OZARK RD
SUITE B
ABBEVILLE, AL36310-2629
 Phone: 334-585-0246
 Fax: 334-585-0336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ABBEVILLE PHARMACY LLC

NPI # 1700183753
LBN Legal business name ABBEVILLE PHARMACY LLC
Authorized official JOE DALTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2011
Last updated 10/06/2020 - About 6 years ago
Identifiers
AL License # 113492
AL Medicaid 126466
Other 2129040 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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