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Organization
ECLECTIC FAMILY PHARMACY, INC.
Active
Organization
ECLECTIC FAMILY PHARMACY, INC.
Active
Other names
ECLECTIC FAMILY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LETT BS PHARMACY, (PHARMACY OWNER)
(334) 541-2522
Entity
Organization
Contact information
Practice address
575 CLAUD RD, STE 2000, ECLECTIC, AL 36024-6318
(334) 541-2522
(334) 541-4436
Mailing address
PO BOX 240519, ECLECTIC, AL 36024-0020
(334) 541-2522
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
111326
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003024
—
AL
01
—
1993665
PK
—
Enumeration date
11/07/2006
Last updated
02/21/2017
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