# FAYETTE DOWNTOWN PHARMACY, INC

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

## Provider details

- **NPI number:** 1114401973
- **Authorized official:** KATIE WAKEFIELD PHARMD (OWNER/PHARMACIST)
- **Authorized official phone:** (205) 412-7150

## Contact information

- **Practice address:** 1128 2ND AVE NE, FAYETTE, AL 35555-1739
- **Practice address phone:** (205) 932-4513
- **Practice address fax:** (205) 932-9203
- **Mailing address:** PO BOX 666, FAYETTE, AL 35555-0666
- **Mailing address phone:** (205) 932-4513
- **Mailing address fax:** (205) 932-9203

## Taxonomy

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

## Other

- **Enumeration date:** 09/18/2018
- **Last updated:** 08/03/2023