Organization
KENNEDY LLC
Active
Other names
Shoals Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEE KENNEDY PHARM.D. (PHARMACIST/OWNER)
(256) 389-9800
Entity
Organization
Contact information
Practice address
859 E HOBSON ST, TUSCUMBIA, AL 35674-1428
(256) 389-9800
(256) 389-1594
Mailing address
859 E HOBSON ST, TUSCUMBIA, AL 35674-1428
(256) 389-9800
(256) 389-1594
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112554
AL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145720
—
AL
01
—
2138564
PK
—
Enumeration date
01/02/2013
Last updated
03/23/2017
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