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Organization
THE DRUG STORE AT GRINERS LLC
Active
Organization
THE DRUG STORE AT GRINERS LLC
Active
Other names
THE DRUG STORE AT GRINERS LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MINOR (PHARMACIST AND CO OWNER)
(256) 232-3811
Entity
Organization
Contact information
Practice address
14470 HIGHWAY 231 431 NORTH, HAZEL GREEN, AL 35750
(256) 813-2190
(256) 813-2196
Mailing address
PO BOX 547, HAZEL GREEN, AL 35750-0547
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113047
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135067
OTHER ID NUMBER
—
Enumeration date
02/05/2008
Last updated
02/20/2008
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