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Organization
YOUNGS DRUG STORE LLC
Active
Organization
YOUNGS DRUG STORE LLC
Active
Other names
YOUNG DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC SMITH RPH (MNGR, OWNER)
(256) 396-5632
Entity
Organization
Contact information
Practice address
88960 HWY 9, LINEVILLE, AL 36266
(256) 396-5632
(256) 396-5142
Mailing address
PO BOX 67, LINEVILLE, AL 36266-0067
(256) 396-5632
(256) 396-5142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
12660
AL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003274
—
AL
01
—
1988812
PK
—
Enumeration date
08/18/2006
Last updated
01/19/2018
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