# J & A PHARMACY INC CENTRE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alaco Discounty Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922116615
- **Authorized official:** JEFF S GRAVES RPH (PRESIDENT)
- **Authorized official phone:** (256) 927-8539

## Contact information

- **Practice address:** 1490 CHESNUT BYPASS, CENTRE, AL 35960
- **Practice address phone:** (256) 927-8539
- **Practice address fax:** (256) 927-8588
- **Mailing address:** 102 JD SMITH DRIVE, ALACO WAREHOUSE - BUSINESS OFFICE, ATTALLA, AL 35954-3350
- **Mailing address phone:** (256) 538-5697
- **Mailing address fax:** (256) 538-0239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 101053 | AL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 12/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0111497 | NABP\# | AL |
| 05 | — | 100001380 | — | AL |