Healthcare Provider Details

I. General information

NPI: 1013000389
Provider Name (Legal Business Name): B & B DISCOUNT DRUGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2006
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 S FOREST AVE
LUVERNE AL
36049-1514
US

IV. Provider business mailing address

98 S FOREST AVE
LUVERNE AL
36049-1514
US

V. Phone/Fax

Practice location:
  • Phone: 334-335-3758
  • Fax:
Mailing address:
  • Phone: 334-335-3758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number101301
License Number StateAL

VIII. Authorized Official

Name: JOE A DALTON
Title or Position: OWNER
Credential:
Phone: 334-797-7992