| NPI | 1639424328 |
|---|---|
| Doing Business As | BEAUREGARD DRUGS, INC |
| Entity Type | Organization |
| Authorized Contact | TUCKER SIMMONS President 334-364-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 113939) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2017-02-20 |