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Organization
CJ SANDLIN LLC
Active
Organization
CJ SANDLIN LLC
Active
Other names
Fred's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JILL SANDLIN PHARMD (OWNER)
(205) 921-3193
Entity
Organization
Contact information
Practice address
797 MILITARY ST S, HAMILTON, AL 35570-4737
(205) 921-3193
(205) 921-2576
Mailing address
PO BOX 1360, HAMILTON, AL 35570-1360
(205) 921-3193
(205) 921-2576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114270
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156633
—
AL
01
—
2143981
PK
—
Enumeration date
09/11/2013
Last updated
04/07/2017
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