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Contact Information

CITRONELLE DRUG CO INC
19240 MOBILE ST
CITRONELLE, AL36522
 Phone: 251-866-5522
 Fax: 251-866-2335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for CITRONELLE DRUG CO INC

NPI Number 1871622555
LBN Legal business name CITRONELLE DRUG CO INC
Authorized official ROBERT JEFFUS - (PRESIDENT OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2007
Last updated 02/22/2010 - About 16 years ago
Identifiers
AL License # 10811
AL Medicaid 100000334
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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