# PATTERSON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PATTERSON PHARMACY INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366583098
- **Authorized official:** JOHN PATTERSON (PRESIDENT)
- **Authorized official phone:** (205) 699-5113

## Contact information

- **Practice address:** 7513 PARKWAY DR, LEEDS, AL 35094-4813
- **Practice address phone:** (205) 699-5113
- **Practice address fax:** (205) 699-3750
- **Mailing address:** PO BOX 155, LEEDS, AL 35094-0003
- **Mailing address phone:** (205) 699-5113
- **Mailing address fax:** (205) 699-3750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 107510 | AL | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 03/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000168 | — | AL |
| 01 | — | 1988809 | PK | — |