Organization
GARDENDALE PHARMACY LLC
Active
Other names
Gardendale Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT SPEEGLE (OWNER)
(205) 487-3079
Entity
Organization
Contact information
Practice address
210 FIELDSTOWN RD, GARDENDALE, AL 35071-2408
(205) 285-8135
(205) 487-3079
Mailing address
210 FIELDSTOWN RD, GARDENDALE, AL 35071-2408
(205) 285-8135
(205) 487-3079
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113842
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137453
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2011
Last updated
12/05/2012
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