Organization
PURE LIFE PHARMACY LLC
Active
Other names
Pure Life Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY HOOVER PHARMD (OWNER)
(251) 424-1544
Entity
Organization
Contact information
Practice address
1502 N MCKENZIE ST STE 114, FOLEY, AL 36535-2272
(251) 424-1544
(251) 424-1545
Mailing address
1502 N MCKENZIE ST STE 114, FOLEY, AL 36535-2272
(251) 424-1544
(251) 424-1545
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114357
AL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163735
—
AL
01
—
2146082
PK
—
Enumeration date
06/04/2014
Last updated
09/13/2016
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