# JOHN M GENTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Snead Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528100245
- **Authorized official:** JOHN GENTRY RPH (OWNER/PIC/AO)
- **Authorized official phone:** (205) 466-7990

## Contact information

- **Practice address:** 87458 US HIGHWAY 278, SNEAD, AL 35952-9638
- **Practice address phone:** (205) 466-7990
- **Practice address fax:** (205) 466-3603
- **Mailing address:** PO BOX 510, SNEAD, AL 35952-0510
- **Mailing address phone:** (205) 466-7990
- **Mailing address fax:** (205) 466-3603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 108965 | AL | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 07/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100001501 | — | AL |
| 01 | — | 1990315 | PK | — |