Organization
ROGERSVILLE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SCOTT HUMPHREYS R.PH. (OWNER/MANAGER/MEMBER)
(256) 335-2310
Entity
Organization
Contact information
Practice address
16135 HIGHWAY 72, ROGERSVILLE, AL 35652-8118
(256) 444-7777
(256) 607-7112
Mailing address
16135 HIGHWAY 72, ROGERSVILLE, AL 35652-8118
(256) 444-7777
(256) 607-7112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
10/03/2019
Last updated
10/26/2019
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