# CLEBURNE PHARMACY LLC

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

## Provider details

- **NPI number:** 1528892395
- **Authorized official:** FRANK B TANT (OWNER)
- **Authorized official phone:** (256) 463-2197

## Contact information

- **Practice address:** 875 ROSS ST, HEFLIN, AL 36264-1131
- **Practice address phone:** (256) 463-2197
- **Mailing address:** 875 ROSS ST, HEFLIN, AL 36264-1131
- **Mailing address phone:** (256) 463-2197

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2024
- **Last updated:** 08/26/2024