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Organization
MAGNOLIA SPRINGS PHARMACY LLC
Active
Organization
MAGNOLIA SPRINGS PHARMACY LLC
Active
Other names
MAGNOLIA SPRINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA CRUTCHFIELD PHARMD (PHARMACIST IN CHARGE)
(251) 965-6273
Entity
Organization
Contact information
Practice address
12547 COUNTY ROAD 49, FOLEY, AL 36535-8437
(251) 965-6273
(251) 965-6274
Mailing address
PO BOX 1025, MAGNOLIA SPRINGS, AL 36555-1025
(251) 965-6273
(251) 965-6274
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112501
AL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039173
—
AL
01
—
1995406
PK
—
Enumeration date
08/10/2006
Last updated
05/11/2016
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