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POLK'S CROSSGATE DISCOUNT DRUGS INC. NPI 1407872666


NPI Information

NPI: 1407872666
Provider Name: POLK'S CROSSGATE DISCOUNT DRUGS INC.

Doing Business As: PMO PHARMACY MGMT DOTHAN

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3119 WESLEY WAY STE 6
STE 6
DOTHAN, AL
ZIP 36305
Phone: (334) 699-3900
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POLK'S CROSSGATE DISCOUNT DRUGS INC. is a community/retail pharmacy pharmacy in Dothan, 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. POLK'S CROSSGATE DISCOUNT DRUGS INC. NPI is 1407872666. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmo Pharmacy Mgmt Dothan.

The provider's business location address is:

3119 WESLEY WAY STE 6
STE 6
DOTHAN, AL
ZIP 36305-000
Phone: (334) 699-3900
Fax: (334) 699-3902

The provider's authorized official is Margaret Hudson .
The authorized official title is Managing Pharmacist and has the following contact phone number (334) 699-3900.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 4/12/2017.


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 Pharmacy112818ALABAMAYes

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
11995930OTHERPK
2794290082AMEDICAIDGEORGIA
30169480008MEDICARE NSC
4100003723MEDICAIDALABAMA
5031628800MEDICAIDFLORIDA

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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