Organization
FOODLAND PHARMACY SB LLC
Active
Other names
Foodland Pharmacy SB, Foodland Pharmacy SB, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOHN KINSLEY PHARM.D. (PHARMACY MANAGER/OWNER)
(256) 259-1011
Entity
Organization
Contact information
Practice address
1402 COUNTY PARK RD STE 1, SCOTTSBORO, AL 35769-3968
(256) 259-1011
(256) 259-1138
Mailing address
1402 COUNTY PARK RD STE 1, SCOTTSBORO, AL 35769-3968
(256) 259-1011
(256) 259-1138
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114233
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154030
—
AL
01
—
2142791
PK
—
Enumeration date
10/29/2013
Last updated
07/08/2024
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