Escambia Drug Store Inc

Organization Active NPI Pharmacy · Atmore, AL

NPI 1114064441 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1114064441
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
103720 (AL)
Legal business name
ESCAMBIA DRUG STORE INC
Practice address
108 S Main Street
Atmore, AL 36502-2446
Phone
(251) 368-3191
Fax
(251) 368-1916
NPI assigned
Jan 30, 2007
Organization subpart
No

Authorized official

Name
Mr. David Dewayne Barnett, REG PHARMACIST
Title
Reg Pharmacist Ins Tres of Corperat
Phone
(251) 368-3191

National Provider Directory

Locations

108 S Main St
Atmore, AL 36502
Phone (251) 368-3191

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 103720 AL Yes

Addresses

Primary practice location

108 S Main Street
Atmore, AL 36502-2446

Mailing address

108 S Main Street
Atmore, AL 36502-2446
Phone (251) 368-3191

Other identifiers

IdentifierTypeStateIssuer
#103720OtherALA CONTROLLED SUBSTANCE
0104050OtherNABP

Other providers in Atmore, AL

All providers in Atmore, AL · Pharmacy in Alabama

Sources for this page

Verify at the official NPI Registry.