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Organization
LEIGHTON PHARMACY INC
Active
Organization
LEIGHTON PHARMACY INC
Active
Other names
RUSSELLVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LOGAN (PRESIDENT CEO)
(256) 314-1434
Entity
Organization
Contact information
Practice address
14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
(256) 331-1919
(256) 331-1960
Mailing address
14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
(256) 331-1919
(256) 331-1960
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112837
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133974
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/10/2006
Last updated
09/17/2012
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