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Organization
RICHARDSON CLOVERDALE PHARMACY
Active
Organization
RICHARDSON CLOVERDALE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE M RICHARDSON (OWNER)
(334) 262-5775
Entity
Organization
Contact information
Practice address
1069 WOODLEY RD, MONTGOMERY, AL 36106-2429
(334) 262-5775
(334) 262-1637
Mailing address
1069 WOODLEY RD, MONTGOMERY, AL 36106-2429
(334) 262-5775
(334) 262-1637
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
108450
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116827
NABP
—
Enumeration date
09/25/2006
Last updated
08/22/2020
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