Organization
HACKLEBURG PHARMACY INC
Active
Other names
Hackleburg Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT HUGHES (PHARMACIST/OWNER)
(205) 935-3392
Entity
Organization
Contact information
Practice address
34863 US HIGHWAY 43, HACKLEBURG, AL 35564-4281
(205) 935-3392
(205) 935-3393
Mailing address
PO BOX 167, HACKLEBURG, AL 35564-0167
(205) 935-3392
(205) 935-3393
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113891
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137770
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/25/2012
Last updated
08/09/2013
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