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ESB INVESTMENTS LLC NPI 1053679860


NPI Information

NPI: 1053679860
Provider Name: ESB INVESTMENTS LLC

Doing Business As: CENTER DRUGS OF DALEVILLE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 01D2210974

Address:
181 HIGHWAY 84 W
DALEVILLE, AL
ZIP 36322
Phone: (334) 598-4242
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ESB INVESTMENTS LLC is a community/retail pharmacy pharmacy in Daleville, AL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ESB INVESTMENTS LLC NPI is 1053679860. The provider is registered as an organization entity type.
The provider Is Doing Business As Center Drugs Of Daleville.

The provider's business location address is:

181 HIGHWAY 84 W
DALEVILLE, AL
ZIP 36322-113
Phone: (334) 598-4242
Fax: (334) 598-4240

The provider's authorized official is Stacy Boucher .
The authorized official title is Owner/president/pharmacist and has the following contact phone number (334) 763-0146.

The CLIA number assigned to this NPI record is 01D2210974 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2012 and was last updated on 2/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy113893ALABAMAYes
33336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1137765MEDICAIDALABAMA
22134906OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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