Organization
BROOKLERE GROUP LLC
Active
Other names
Brooklere Pharmacy 104
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY BROOKLERE (PHARMACIST/OWNER)
(205) 648-6059
Entity
Organization
Contact information
Practice address
385 BRYAN RD, STE 200, SUMITON, AL 35148-3436
(205) 648-6059
(205) 648-4706
Mailing address
385 BRYAN RD, STE 200, SUMITON, AL 35148-3436
(205) 648-6059
(205) 648-4706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
103045
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154083
PK
—
Enumeration date
09/17/2015
Last updated
09/17/2015
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