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 |