Provider Demographics
NPI:1497387757
Name:DOUBLE A DRUGS LLC
Entity Type:Organization
Organization Name:DOUBLE A DRUGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANSLEY
Authorized Official - Middle Name:KAITLYN
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-404-7848
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:VINCENT
Mailing Address - State:AL
Mailing Address - Zip Code:35178-3600
Mailing Address - Country:US
Mailing Address - Phone:205-642-9274
Mailing Address - Fax:205-642-9275
Practice Address - Street 1:42746 HWY 25
Practice Address - Street 2:
Practice Address - City:VINCENT
Practice Address - State:AL
Practice Address - Zip Code:35178
Practice Address - Country:US
Practice Address - Phone:205-642-9274
Practice Address - Fax:205-642-9275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-05
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy