Healthcare Provider Details

I. General information

NPI: 1023026168
Provider Name (Legal Business Name): DUNLAP DRUG CO INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 09/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 PINE ST NW
HARTSELLE AL
35640-2316
US

IV. Provider business mailing address

302 PINE ST NW
HARTSELLE AL
35640-2316
US

V. Phone/Fax

Practice location:
  • Phone: 256-773-5421
  • Fax: 256-773-8488
Mailing address:
  • Phone: 256-773-5421
  • Fax: 256-773-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number103336
License Number StateAL

VIII. Authorized Official

Name: MR. TOMMIE LINDEL DUNLAP
Title or Position: VICE PRESIDENT OWNER PHARMACIST
Credential:
Phone: 256-773-5421