Organization
BOONES PHARMACY INC
Active
Other names
Boone's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND BOONE RPH (OWNER/PIC/AO)
(334) 289-8989
Entity
Organization
Contact information
Practice address
951B US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4102
(334) 289-8989
(334) 289-3276
Mailing address
951B US HIGHWAY 80 W, DEMOPOLIS, AL 36732-4102
(334) 289-8989
(334) 289-3276
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113281
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356579205
—
AL
01
—
2120908
PK
—
Enumeration date
06/30/2009
Last updated
11/18/2020
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