# ARLEY COUNTRY PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ARLEY COUNTRY PHARMACY LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932282084
- **Authorized official:** JENELLA BURTON (OWNER)
- **Authorized official phone:** (205) 387-0526

## Contact information

- **Practice address:** 6168 COUNTY ROAD 41, ARLEY, AL 35541-3372
- **Practice address phone:** (205) 295-9290
- **Practice address fax:** (205) 295-9289
- **Mailing address:** PO BOX 477, ARLEY, AL 35541-0477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112871 | AL | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 04/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0134128 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |