Organization
HAYDEN FAMILY PHARMACY P C
Active
Other names
SHIPP'S DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER METCALF (PRESIDENT)
(205) 590-1100
Entity
Organization
Contact information
Practice address
88 WHITE OAK TRL, WARRIOR, AL 35180-4214
(205) 590-1100
(205) 590-1120
Mailing address
PO BOX 665, HAYDEN, AL 35079-0665
(205) 590-1100
(205) 590-1120
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D2107084
CLIA
AL
05
—
1063792018
—
AL
01
—
2131605
PK
—
Enumeration date
08/23/2011
Last updated
09/13/2020
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