Provider Demographics
NPI:1518479500
Name:DRURY FAMILY PHARMACY LLC
Entity Type:Organization
Organization Name:DRURY FAMILY PHARMACY LLC
Other - Org Name:IVEY'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-935-2336
Mailing Address - Street 1:128 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MINERAL POINT
Mailing Address - State:WI
Mailing Address - Zip Code:53565-1208
Mailing Address - Country:US
Mailing Address - Phone:608-987-2336
Mailing Address - Fax:
Practice Address - Street 1:128 HIGH ST
Practice Address - Street 2:
Practice Address - City:MINERAL POINT
Practice Address - State:WI
Practice Address - Zip Code:53565-1208
Practice Address - Country:US
Practice Address - Phone:608-987-2336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy