# THE DRUG STORE AT GRINERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** THE DRUG STORE AT GRINERS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306024096
- **Authorized official:** JONATHAN MINOR (PHARMACIST AND CO OWNER)
- **Authorized official phone:** (256) 232-3811

## Contact information

- **Practice address:** 14470 HIGHWAY 231 431 NORTH, HAZEL GREEN, AL 35750
- **Practice address phone:** (256) 813-2190
- **Practice address fax:** (256) 813-2196
- **Mailing address:** PO BOX 547, HAZEL GREEN, AL 35750-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113047 | AL | Yes |

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 02/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0135067 | OTHER ID NUMBER | — |