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MALLETTE DRUG COMPANY INCORPORATED NPI 1992839617


NPI Information

NPI: 1992839617
Provider Name: MALLETTE DRUG COMPANY INCORPORATED
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 01D2182229

Address:
837 S THREE NOTCH ST
ANDALUSIA, AL
ZIP 36420
Phone: (334) 222-1141
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MALLETTE DRUG COMPANY INCORPORATED is a durable medical equipment medical supplies in Andalusia, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MALLETTE DRUG COMPANY INCORPORATED NPI is 1992839617. The provider is registered as an organization entity type.

The provider's business location address is:

837 S THREE NOTCH ST
ANDALUSIA, AL
ZIP 36420-321
Phone: (334) 222-1141
Fax: (334) 222-8361

The provider's authorized official is Bobby John Scott .
The authorized official title is Owner Chief Pharmacist and has the following contact phone number (334) 222-1141.

The CLIA number assigned to this NPI record is 01D2182229 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/22/2020.


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
1332B00000XDurable Medical Equipment & Medical Supplies283ALABAMAYes

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
1510-50553OTHERALABAMABCBSAL DMERC SUPPLIER

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: 11/14/2023

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