# FAF INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAF INC
- **Other names:** SPARKMAN PHARMACY AT WELLSTONE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982175956
- **Legal business name:** FAF INC
- **Authorized official:** ASHLEY WATSON (PHARMACY MANAGER)
- **Authorized official phone:** (256) 705-6499

## Contact information

- **Practice address:** 4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL 35802-4364
- **Practice address phone:** (256) 705-6499
- **Practice address fax:** (256) 705-6497
- **Mailing address:** 4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL 35802-4364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 182372 | — | AL |