Provider Demographics
NPI:1295740827
Name:HARALSON DRUG COMPANY INC
Entity type:Organization
Organization Name:HARALSON DRUG COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:MURPHREE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-582-3661
Mailing Address - Street 1:1941 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:GUNTERSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35976-2060
Mailing Address - Country:US
Mailing Address - Phone:256-582-3661
Mailing Address - Fax:256-582-3648
Practice Address - Street 1:1941 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:GUNTERSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35976-2060
Practice Address - Country:US
Practice Address - Phone:256-582-3661
Practice Address - Fax:256-582-3648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1050203336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1988732OtherPK
AL100002950Medicaid
AL100002950Medicaid
AL100002950Medicaid
AL000052186OtherMEDICAID-DME