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Organization
BRYAN PHARMACY INC
Active
Organization
BRYAN PHARMACY INC
Active
Other names
Bryan Pharmacy Inc SouthSide
Organization subpart
No
Provider details
NPI number
Authorized official
HUBERT BRYAN (OWNER)
(334) 347-5111
Entity
Organization
Contact information
Practice address
6580 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9424
(334) 417-4111
(334) 417-4114
Mailing address
6580 BOLL WEEVIL CIRCLE, ENTERPRISE, AL 36330
(334) 417-4111
(334) 417-4111
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114626
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160202
PK
—
Enumeration date
05/20/2016
Last updated
08/02/2016
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