Organization
EDUCATION AVENUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA PAYNE PHARMD (OWNER/AUTHORIZED OFFICIAL)
(256) 228-7179
Entity
Organization
Contact information
Practice address
5375 TAMMY LITTLE DR STE 3, SECTION, AL 35771-7257
(256) 242-3261
Mailing address
5375 TAMMY LITTLE DR STE 3, SECTION, AL 35771-7257
(256) 242-3261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/16/2022
Last updated
05/16/2022
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