Organization Name: | AVALON PHARMACY, INC |
NPI Number: | 1871620526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES MARK RAY (RPH) |
Mailing Address: | 2400 Avalon Ave Muscle Shoals |
State: | AL US |
Postal Code: | 356613164 |
Phone Number: | 2563141001 |
Fax Number: | 2563141002 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 03/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 110779 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |