Organization
J & A PHARMACY OF GLENCOE INC.
Active
Other names
Alaco Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA J DIVINE RPH (PRESIDENT)
(256) 538-5697
Entity
Organization
Contact information
Practice address
544 WEST MAIN ST, GLENCOE, AL 35905
(256) 492-4900
(256) 492-4994
Mailing address
102 J D SMITH DRIVE, ALACO WAREHOUSE BUSINESS OFFICE, ATTALLA, AL 35954-3350
(256) 538-5697
(256) 538-0239
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
101062
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0114823
NABP NUMBER
AL
05
—
100001661
—
AL
Enumeration date
08/18/2006
Last updated
12/20/2019
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