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Organization

ECLECTIC FAMILY PHARMACY, INC.

Active
Other names
ECLECTIC FAMILY PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA LETT BS PHARMACY, (PHARMACY OWNER)
(334) 541-2522
Entity
Organization

Contact information

Practice address
575 CLAUD RD, STE 2000, ECLECTIC, AL 36024-6318
(334) 541-2522
(334) 541-4436
Mailing address
PO BOX 240519, ECLECTIC, AL 36024-0020
(334) 541-2522

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
111326
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100003024
AL
01
1993665
PK
Enumeration date
11/07/2006
Last updated
02/21/2017
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