OrganizationActive
Houston County Healthcare Authority
NPI 1093556193 · Specialty Pharmacy · Dothan, AL
Provider details
- NPI number
- 1093556193
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joseph Drake, Outpatient Pharmacy Manager(334) 793-8116
Specialties & taxonomies
Suppliers
Practice location
1108 Ross Clark Cir Ste 160
Dothan, AL 36301-3022
Phone: (334) 793-8116
Approximate (ZIP-level) locationGet directions
Mailing address
1108 Ross Clark Cir Ste 160
Dothan, AL 36301-3022
Other names (DBA / former)
- Doing business as
- Southeast Medicine Shop
- Doing business as
- Southeast Medicine Shop
Registry dates
- Enumerated
- 2024-06-03
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.