Healthcare Provider Details

I. General information

NPI: 1043258205
Provider Name (Legal Business Name): NEW MARKET DISCOUNT DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5324 WINCHESTER RD
NEW MARKET AL
35761-7430
US

IV. Provider business mailing address

5324 WINCHESTER RD
NEW MARKET AL
35761-7430
US

V. Phone/Fax

Practice location:
  • Phone: 256-379-4670
  • Fax: 256-379-4680
Mailing address:
  • Phone: 256-379-4670
  • Fax: 256-379-4680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112550
License Number StateAL

VIII. Authorized Official

Name: MR. BILLY R POE
Title or Position: OWNER
Credential: RPH
Phone: 256-379-4670