Organization
GENTRY PHARMACY LLC
Active
Other names
Gentry Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CLINT GENTRY PHARMD (OWNER/MANAGER)
(205) 970-1983
Entity
Organization
Contact information
Practice address
3100 BLUE LAKE DRIVE, VESTAVIA, AL 35243
(205) 970-1983
(205) 970-1986
Mailing address
3100 BLUE LAKE DRIVE, VESTAVIA, AL 35243
(205) 970-1983
(205) 970-1986
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113729
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129374
—
AL
01
—
2130074
PK
—
Enumeration date
05/31/2011
Last updated
08/19/2021
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