# SMITHS STATION PHARMACY LLC

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

## Provider details

- **NPI number:** 1750765137
- **Authorized official:** AMIE FLOURNOY (OWNER/PIC/AO)
- **Authorized official phone:** (706) 573-6106

## Contact information

- **Practice address:** 2828 LEE ROAD 430, SMITHS STATION, AL 36877-2571
- **Practice address phone:** (334) 408-6106
- **Practice address fax:** (334) 408-6108
- **Mailing address:** 2828 LEE ROAD 430, SMITHS STATION, AL 36877-2571
- **Mailing address phone:** (334) 408-6106
- **Mailing address fax:** (334) 408-6108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114499 | AL | Yes |

## Other

- **Enumeration date:** 07/15/2015
- **Last updated:** 01/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 179255 | — | AL |
| 01 | — | 2153484 | PK | — |