Organization
PARKS PHARMACY INC
Active
Other names
PARKS PHARMACY #4
Organization subpart
No
Provider details
NPI number
Authorized official
LA SONYA GLOVER (PRESIDENT)
(323) 314-4680
Entity
Organization
Contact information
Practice address
1323 MULBERRY ST STE A, MONTGOMERY, AL 36106-1545
(334) 264-1416
(877) 827-1288
Mailing address
PO BOX 250310, MONTGOMERY, AL 36125-0310
(334) 264-1416
(877) 827-1288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114277
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127037
PK
—
Enumeration date
10/14/2010
Last updated
07/03/2020
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