# BRYAN PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bryan Pharmacy Inc SouthSide
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104273002
- **Authorized official:** HUBERT BRYAN (OWNER)
- **Authorized official phone:** (334) 347-5111

## Contact information

- **Practice address:** 6580 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-9424
- **Practice address phone:** (334) 417-4111
- **Practice address fax:** (334) 417-4114
- **Mailing address:** 6580 BOLL WEEVIL CIRCLE, ENTERPRISE, AL 36330
- **Mailing address phone:** (334) 417-4111
- **Mailing address fax:** (334) 417-4111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114626 | AL | Yes |

## Other

- **Enumeration date:** 05/20/2016
- **Last updated:** 08/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2160202 | PK | — |