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Organization
FORT PAYNE PHARMACY LLC
Active
Organization
FORT PAYNE PHARMACY LLC
Active
Other names
Fort Payne Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEATRICIA LYNN BONNER (OWNER)
(256) 845-3402
Entity
Organization
Contact information
Practice address
1614A GLENN BLVD SW, FORT PAYNE, AL 35968-3522
(256) 845-3402
(256) 845-3289
Mailing address
1614A GLENN BLVD SW, FORT PAYNE, AL 35968-3522
(256) 845-3402
(256) 845-3289
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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