Organization
LOCUST FORK PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY HOYT CLEVELAND RPH (PHARMACIST AND OWNER)
(205) 680-2222
Entity
Organization
Contact information
Practice address
29984 STATE HIGHWAY 79, SUITE 600, LOCUST FORK, AL 35097-5878
(205) 680-2222
(205) 680-2200
Mailing address
PO BOX 52, LOCUST FORK, AL 35097-0052
(205) 680-2222
(205) 680-2200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13351
AL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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