Healthcare Provider Details

I. General information

NPI: 1588998082
Provider Name (Legal Business Name): DORA DISCOUNT PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2165 HIGHWAY 78 SUITE 102
DORA AL
35062-4548
US

IV. Provider business mailing address

2165 HIGHWAY 78 SUITE 102
DORA AL
35062-4548
US

V. Phone/Fax

Practice location:
  • Phone: 205-936-1999
  • Fax:
Mailing address:
  • Phone: 205-648-4292
  • Fax: 205-648-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number15076
License Number StateAL

VIII. Authorized Official

Name: DR. ROBERT CHRISTOPHER HENSLEE
Title or Position: SUPERVISING PHARMACIST/OWNER
Credential: PHARMD
Phone: 205-648-4292