Fort Payne Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Fort Payne, AL. Organization (NPI-2).
NPI number1942011663
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1942011663
- Entity type
- Organization (NPI-2)
- Legal business name
- Fort Payne Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2025
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Fort Payne Pharmacy LLC (Former Legal Business Name)
Practice location
1614a Glenn Blvd SwFort Payne, AL 35968-3522
Phone 256-845-3402 · Fax 256-845-3289
Mailing address
1614a Glenn Blvd SwFort Payne, AL 35968-3522
Phone 256-845-3402 · Fax 256-845-3289
Authorized official
Leatricia Lynn Bonner
Owner
2568453402
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All 6 Community/Retail Pharmacy providers in Fort Payne · All 409 providers in Fort Payne
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