# BRANDON JONES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clark's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265479778
- **Authorized official:** BRANDON JONES (OWNER/PHARMACIST)
- **Authorized official phone:** (256) 840-1100

## Contact information

- **Practice address:** 241 BILLY DYAR BLVD, BOAZ, AL 35957-7102
- **Practice address phone:** (256) 840-1100
- **Practice address fax:** (256) 840-1119
- **Mailing address:** 241 BILLY DYAR BLVD, BOAZ, AL 35957-7102
- **Mailing address phone:** (256) 840-1100
- **Mailing address fax:** (256) 840-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112383 | AL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 10/02/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 157113 | — | AL |
| 01 | — | 2145446 | PK | — |