# HAYDEN FAMILY PHARMACY P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SHIPP'S DISCOUNT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063792018
- **Authorized official:** JENNIFER METCALF (PRESIDENT)
- **Authorized official phone:** (205) 590-1100

## Contact information

- **Practice address:** 88 WHITE OAK TRL, WARRIOR, AL 35180-4214
- **Practice address phone:** (205) 590-1100
- **Practice address fax:** (205) 590-1120
- **Mailing address:** PO BOX 665, HAYDEN, AL 35079-0665
- **Mailing address phone:** (205) 590-1100
- **Mailing address fax:** (205) 590-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113797 | AL | Yes |

## Other

- **Enumeration date:** 08/23/2011
- **Last updated:** 09/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01D2107084 | CLIA | AL |
| 05 | — | 1063792018 | — | AL |
| 01 | — | 2131605 | PK | — |