Sand Drug Inc in Decatur - Compounding Pharmacy
Sand Drug Inc - NPI 1154461200
Sand Drug Inc is a Compounding Pharmacy in Decatur, Alabama. Sand Drug Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Sand Drug Inc is 1154461200. The last update date is 2023-03-07.
Sand Drug Inc's current location address is 1206 7th St Se, Decatur, Alabama. You can contact this provider via phone number 2563535011 and fax number 2563555152. The mailing address for Sand Drug Inc is 1206 7th St Se, Decatur, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sand Drug Inc |
|---|---|
| Address | 1206 7th St Se, Decatur, Alabama |
| Phone Number | 2563535011 |
| Fax Number | 2563555152 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/RPH |
|---|---|
| Authorized Official Name | Gowen Lee Blake |
| Telephone Number | 2563535011 |
NPI Number Detail
| NPI Number | 1154461200 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1206 7th St Se |
|---|---|
| City | Decatur |
| State | Alabama (AL) |
| Post Code | 356013338 |
| Phone Number | 2563535011 |
| Fax Number | 2563555152 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 107541 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111790 | AL | NCPDP NUMBER | |
| 100003745 | AL | -- | |
| 107541 | AL | ALABAMA PHARMACY LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Sand Drug Inc by the Centers for Medicare & Medicaid Services?
The Sand Drug Inc has been assigned the NPI (National Provider Identifier) 1154461200. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sand Drug Inc?
The Sand Drug Inc is physically situated at 1206 7Th St Se, in the city of Decatur, state of AL, with the postal code 356013338.
What is Sand Drug Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sand Drug Inc's specialized field of practice is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0004X.
On what date was the 1154461200 assigned to Sand Drug Inc?
The Sand Drug Inc was issued its 1154461200 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Sand Drug Inc most recently updated or refreshed?
The details pertaining to the Sand Drug Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.
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