Healthcare Provider Details

I. General information

NPI: 1083758023
Provider Name (Legal Business Name): DUCO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 11/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 5TH ST SW
VERNON AL
35592-5215
US

IV. Provider business mailing address

PO BOX 1010
VERNON AL
35592-1010
US

V. Phone/Fax

Practice location:
  • Phone: 205-695-7911
  • Fax: 205-695-7970
Mailing address:
  • Phone: 205-695-7911
  • Fax: 205-695-7970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TERRY L DUKE
Title or Position: OWNER
Credential:
Phone: 205-695-7911