# HACKLEBURG PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hackleburg Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083972202
- **Authorized official:** VINCENT HUGHES (PHARMACIST/OWNER)
- **Authorized official phone:** (205) 935-3392

## Contact information

- **Practice address:** 34863 US HIGHWAY 43, HACKLEBURG, AL 35564-4281
- **Practice address phone:** (205) 935-3392
- **Practice address fax:** (205) 935-3393
- **Mailing address:** PO BOX 167, HACKLEBURG, AL 35564-0167
- **Mailing address phone:** (205) 935-3392
- **Mailing address fax:** (205) 935-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113891 | AL | Yes |

## Other

- **Enumeration date:** 04/25/2012
- **Last updated:** 08/09/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0137770 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |