# EDUCATION AVENUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417605585
- **Authorized official:** MONICA PAYNE PHARMD (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (256) 228-7179

## Contact information

- **Practice address:** 5375 TAMMY LITTLE DR STE 3, SECTION, AL 35771-7257
- **Practice address phone:** (256) 242-3261
- **Mailing address:** 5375 TAMMY LITTLE DR STE 3, SECTION, AL 35771-7257
- **Mailing address phone:** (256) 242-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/16/2022
- **Last updated:** 05/16/2022