Sand Drug INC
Pharmacy, Community/Retail Pharmacy in Decatur, AL. Organization (NPI-2).
NPI number1154461200
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1154461200
- Entity type
- Organization (NPI-2)
- Legal business name
- Sand Drug INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2007
- Last updated
- Mar 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 107541 | AL | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | 107541 | AL |
Other names
- Pay-Less Drive-In Pharmacy (Doing Business As)
Practice location
1206 7th St SeDecatur, AL 35601-3338
Phone 256-353-5011 · Fax 256-355-5152
Mailing address
1206 7th St SeDecatur, AL 35601-3338
Phone 256-353-5011 · Fax 256-355-5152
Other practice locations
1207 Medical Dr Se
Decatur, AL 35601-4330
Decatur, AL 35601-4330
Phone 256-353-5011 · Fax 256-355-5152
Authorized official
Blake Lee Gowen
Owner/Rph In Charge
2563535011
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