MALLETTE DRUG COMPANY INC
Medical Equipment Supplier Yellow Pages
Andalusia, Alabama
Provider NPI: 1922177815
Organization Information:Organization Name: MALLETTE DRUG COMPANY INC
Practice Location:
837 S THREE NOTCH ST ANDALUSIA, AL 36420 US
Tel: 334-222-1141 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
837 S THREE NOTCH ST ANDALUSIA, AL 36420 US
Tel: 334-222-1141 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | AL | 106470 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100000373 | AL | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0103779 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin