Provider Demographics
NPI:1114036258
Name:D & K PHARMACY
Entity Type:Organization
Organization Name:D & K PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:DEE
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:334-874-8266
Mailing Address - Street 1:P.O. BOX 250210
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36125
Mailing Address - Country:US
Mailing Address - Phone:334-874-8266
Mailing Address - Fax:
Practice Address - Street 1:415 JEFF DAVIS AVENUE
Practice Address - Street 2:
Practice Address - City:SLEMA
Practice Address - State:AL
Practice Address - Zip Code:36701
Practice Address - Country:US
Practice Address - Phone:334-874-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies