Organization
BOONES PHARMACY INC
Active
Other names
Boone's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BOONE (PHARMACIST/OWNER)
(334) 289-8989
Entity
Organization
Contact information
Practice address
850 TUSCALOOSA ST STE D, GREENSBORO, AL 36744-1562
(334) 624-7151
(334) 624-5156
Mailing address
951-B US WHY 80 EAST, DEMOPOLIS, AL 36732
(334) 289-8989
(334) 289-3276
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114504
AL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153339
PK
—
Enumeration date
08/05/2015
Last updated
11/06/2020
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