# YOUNGS DRUG STORE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** YOUNG DRUG STORE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184738148
- **Authorized official:** ERIC SMITH RPH (MNGR, OWNER)
- **Authorized official phone:** (256) 396-5632

## Contact information

- **Practice address:** 88960 HWY 9, LINEVILLE, AL 36266
- **Practice address phone:** (256) 396-5632
- **Practice address fax:** (256) 396-5142
- **Mailing address:** PO BOX 67, LINEVILLE, AL 36266-0067
- **Mailing address phone:** (256) 396-5632
- **Mailing address fax:** (256) 396-5142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 12660 | AL | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 01/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003274 | — | AL |
| 01 | — | 1988812 | PK | — |