# CJ SANDLIN LLC

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

## Provider details

- **NPI number:** 1407281355
- **Authorized official:** JILL SANDLIN PHARMD (OWNER)
- **Authorized official phone:** (205) 921-3193

## Contact information

- **Practice address:** 797 MILITARY ST S, HAMILTON, AL 35570-4737
- **Practice address phone:** (205) 921-3193
- **Practice address fax:** (205) 921-2576
- **Mailing address:** PO BOX 1360, HAMILTON, AL 35570-1360
- **Mailing address phone:** (205) 921-3193
- **Mailing address fax:** (205) 921-2576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114270 | AL | Yes |

## Other

- **Enumeration date:** 09/11/2013
- **Last updated:** 04/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 156633 | — | AL |
| 01 | — | 2143981 | PK | — |