# BOONES PHARMACY INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356579205
- **Authorized official:** RAYMOND BOONE RPH (OWNER/PIC/AO)
- **Authorized official phone:** (334) 289-8989

## Contact information

- **Practice address:** 951B US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4102
- **Practice address phone:** (334) 289-8989
- **Practice address fax:** (334) 289-3276
- **Mailing address:** 951B US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4102
- **Mailing address phone:** (334) 289-8989
- **Mailing address fax:** (334) 289-3276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 113281 | AL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 11/18/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1356579205 | — | AL |
| 01 | — | 2120908 | PK | — |