# PARKS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARKS PHARMACY \#4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649580531
- **Authorized official:** LA SONYA GLOVER (PRESIDENT)
- **Authorized official phone:** (323) 314-4680

## Contact information

- **Practice address:** 1323 MULBERRY ST STE A, MONTGOMERY, AL 36106-1545
- **Practice address phone:** (334) 264-1416
- **Practice address fax:** (877) 827-1288
- **Mailing address:** PO BOX 250310, MONTGOMERY, AL 36125-0310
- **Mailing address phone:** (334) 264-1416
- **Mailing address fax:** (877) 827-1288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114277 | AL | Yes |

## Other

- **Enumeration date:** 10/14/2010
- **Last updated:** 07/03/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2127037 | PK | — |