Modern Drug of Bayou La Batre INC
NPI #1679610802 in Bayou La Batre, Alabama
Provider Information
- NPI Number
- 1679610802
- Entity Type
- Organization
- Organization Name
- Modern Drug of Bayou La Batre INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 13845 S WINTZELL AVE
- City
- Bayou La Batre
- State
- Alabama
- ZIP Code
- 36509-2401
- Phone
- (251) 824-2115
Authorized Official
- Name
- JAMES ACYE PITTMAN, BSPH
- Title
- PHARMACIST
- Phone
- (251) 824-2115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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