Organization
BRYARS-WARREN DRUG CO, LLC
Active
Other names
Bryars-Warren Drug Co
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILLETTE (OWNER/PIC)
(334) 347-2506
Entity
Organization
Contact information
Practice address
112 N MAIN ST, ENTERPRISE, AL 36330-2537
(334) 347-2506
(334) 393-8155
Mailing address
112 N MAIN ST, ENTERPRISE, AL 36330-2537
(334) 347-2506
(334) 393-8155
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
101880
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2142646
PK
—
Enumeration date
10/30/2013
Last updated
12/09/2013
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