Provider Demographics
NPI:1205920345
Name:STEVES DISCOUNT DRUGS INC
Entity type:Organization
Organization Name:STEVES DISCOUNT DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
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:
Mailing Address - Fax:
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:256-905-0320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1092353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1991001OtherPK
AL100001959Medicaid