Organization · NPI-2

Cloverland Drug, INC

Pharmacy · Prattville, AL

NPI number1316026164
StatusActive
Last updated in NPPESDec 21, 2015

Details

NPI
1316026164
Entity type
Organization (NPI-2)
Legal business name
Cloverland Drug, INC
Organization subpart
No
Enumeration date
Nov 3, 2006
Last updated
Dec 21, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy104085ALYes
3336M0002X Pharmacy, Mail Order Pharmacy––
3336C0004X Pharmacy, Compounding Pharmacy––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Fountain City Pharmacy (Doing Business As)

Practice location

105 N Memorial Dr
Prattville, AL 36067-3332

Phone 334-365-3327 · Fax 334-365-3316

Mailing address

Po Box 240817
Montgomery, AL 36124-0817

Phone 334-386-2742 · Fax 334-386-2745

Authorized official

David Saalwaechter
President
3343222927

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