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Organization
FAYETTE DOWNTOWN PHARMACY, INC
Active
Organization
FAYETTE DOWNTOWN PHARMACY, INC
Active
Other names
Fayette Downtown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE WAKEFIELD PHARMD (OWNER/PHARMACIST)
(205) 412-7150
Entity
Organization
Contact information
Practice address
1128 2ND AVE NE, FAYETTE, AL 35555-1739
(205) 932-4513
(205) 932-9203
Mailing address
PO BOX 666, FAYETTE, AL 35555-0666
(205) 932-4513
(205) 932-9203
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
09/18/2018
Last updated
08/03/2023
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