Organization
GEORGIANA PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT JOHNSON SPEEGLE (OWNER)
(334) 376-9800
Entity
Organization
Contact information
Practice address
236 JONES STREET, GEORGIANA, AL 36033
(334) 376-9800
(334) 376-9807
Mailing address
186 MEDICAL DR, WINFIELD, AL 35594-5002
(205) 487-3079
(205) 487-3138
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113446
AL
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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