Provider Demographics
NPI:1487675435
Name:DUNCAN PHARMACY INC
Entity Type:Organization
Organization Name:DUNCAN PHARMACY INC
Other - Org Name:WESTMEADE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-355-8211
Mailing Address - Street 1:2104 DANVILLE RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4642
Mailing Address - Country:US
Mailing Address - Phone:256-355-8211
Mailing Address - Fax:256-351-8375
Practice Address - Street 1:2104 DANVILLE RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4642
Practice Address - Country:US
Practice Address - Phone:256-355-8211
Practice Address - Fax:256-351-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1100323336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1988057OtherPK
AL100001241Medicaid