Provider Demographics
NPI:1427222835
Name:STEVE'S DISCOUNT DRUGS, INC.
Entity Type:Organization
Organization Name:STEVE'S DISCOUNT DRUGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCLEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-974-7663
Mailing Address - Street 1:11809 AL HIGHWAY 157
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-2707
Mailing Address - Country:US
Mailing Address - Phone:256-974-7663
Mailing Address - Fax:256-974-3056
Practice Address - Street 1:11809 AL HIGHWAY 157
Practice Address - Street 2:SUITE A
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-2707
Practice Address - Country:US
Practice Address - Phone:256-974-7663
Practice Address - Fax:256-974-3056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL109235332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000054530Medicaid
AL0294110001Medicare NSC