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Contact Information

MCCONAGHY DRUG STORE, INC
61 RIVER RD
MCINTOSH, AL36553
 Phone: 251-944-8227
 Fax: 251-944-8226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for MCCONAGHY DRUG STORE, INC

NPI # 1457429144
LBN Legal business name MCCONAGHY DRUG STORE, INC
Authorized official RANDY DAVIDSON - (DME DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 11/24/2021 - About 5 years ago
Identifiers
AL License # 106354
AL Medicaid 000054843
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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