Provider Demographics
NPI:1336298694
Name:UNION DRUGS INC
Entity Type:Organization
Organization Name:UNION DRUGS INC
Other - Org Name:UNION DRUG INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHRM
Authorized Official - Phone:334-628-2241
Mailing Address - Street 1:PO BOX 470
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:AL
Mailing Address - Zip Code:36786-0470
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 WATER ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:AL
Practice Address - Zip Code:36786
Practice Address - Country:US
Practice Address - Phone:334-628-2241
Practice Address - Fax:334-628-5026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1098453336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100001517Medicaid
0113390OtherNCPDP PROVIDER IDENTIFICATION NUMBER