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Organization
SMITHS STATION PHARMACY LLC
Active
Organization
SMITHS STATION PHARMACY LLC
Active
Other names
Smiths Station Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE FLOURNOY (OWNER/PIC/AO)
(706) 573-6106
Entity
Organization
Contact information
Practice address
2828 LEE ROAD 430, SMITHS STATION, AL 36877-2571
(334) 408-6106
(334) 408-6108
Mailing address
2828 LEE ROAD 430, SMITHS STATION, AL 36877-2571
(334) 408-6106
(334) 408-6108
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
114499
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179255
—
AL
01
—
2153484
PK
—
Enumeration date
07/15/2015
Last updated
01/24/2022
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