MEDICARE: MED- SURG PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	106760	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1991320	OTHER		PK

General Provider Information

NPI Number	:	1477665453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED- SURG PHARMACY INC

Provider Business Mailing Address
First Line	:	2828 HIGHWAY 31 S
Second Line	:	STE 150
City	:	DECATUR
State	:	AL
Zip	:	35603-1510
Country	:	US
Telephone Number	:	877-540-4748
Fax Number	:	801-716-4872

Provider Business Practice Location Address
First Line	:	2828 HIGHWAY 31 S
Second Line	:	STE 150
City	:	DECATUR
State	:	AL
Zip	:	35603-1510
Country	:	US
Telephone Number	:	256-355-2828
Fax Number	:	256-355-1558

Authorized Official
Title or Position	:	PHARMACIST
Name	:	JOHN DUNCAN
Credential	:	RPH
Telephone Number	:	256-355-2828

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/25/2013

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Directions to “MED- SURG PHARMACY INC ” Practice Location

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