# GEORGIANA PHARMACY, LLC

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

## Provider details

- **NPI number:** 1699084962
- **Authorized official:** BRETT JOHNSON SPEEGLE (OWNER)
- **Authorized official phone:** (334) 376-9800

## Contact information

- **Practice address:** 236 JONES STREET, GEORGIANA, AL 36033
- **Practice address phone:** (334) 376-9800
- **Practice address fax:** (334) 376-9807
- **Mailing address:** 186 MEDICAL DR, WINFIELD, AL 35594-5002
- **Mailing address phone:** (205) 487-3079
- **Mailing address fax:** (205) 487-3138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113446 | AL | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010