Organization
JOHN M GENTRY
Active
Other names
Snead Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GENTRY RPH (OWNER/PIC/AO)
(205) 466-7990
Entity
Organization
Contact information
Practice address
87458 US HIGHWAY 278, SNEAD, AL 35952-9638
(205) 466-7990
(205) 466-3603
Mailing address
PO BOX 510, SNEAD, AL 35952-0510
(205) 466-7990
(205) 466-3603
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
108965
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001501
—
AL
01
—
1990315
PK
—
Enumeration date
02/12/2007
Last updated
07/19/2018
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