Bryan Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Enterprise, AL. Organization (NPI-2).
Details
- NPI
- 1104273002
- Entity type
- Organization (NPI-2)
- Legal business name
- Bryan Pharmacy INC
- Organization subpart
- No
- Enumeration date
- May 20, 2016
- Last updated
- Aug 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 114626 | AL | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Bryan Pharmacy INC Southside (Doing Business As)
Practice location
6580 Boll Weevil CirEnterprise, AL 36330-9424
Phone 334-417-4111 · Fax 334-417-4114
Mailing address
6580 Boll Weevil CircleEnterprise, AL 36330
Phone 334-417-4111 · Fax 334-417-4111
Authorized official
Hubert Bryan
Owner
3343475111
Is something wrong?
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