Organization
PARKS PHARMACY
Active
Organization
PARKS PHARMACY
Active
Other names
PARKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LA SONYA GLOVER (PRESIDENT)
(334) 799-1489
Entity
Organization
Contact information
Practice address
1323 MULBERRY ST STE A, MONTGOMERY, AL 36106-1545
(334) 264-1416
(334) 264-1426
Mailing address
PO BOX 250310, MONTGOMERY, AL 36125-0310
(334) 799-1489
(334) 375-4723
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
113050
AL
333600000X
Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003578
—
AL
01
—
1996241
PK
—
Enumeration date
02/08/2008
Last updated
07/03/2020
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