Organization
ELBERTA PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONJA MARIE LOWERY RPH (OWNER PHARMACIST)
(251) 986-8115
Entity
Organization
Contact information
Practice address
24980 STATE ST, ELBERTA, AL 36530-0670
(251) 986-8115
(251) 986-3062
Mailing address
PO DRAWER 670, ELBERTA, AL 36530-0670
(251) 986-8115
(251) 986-3062
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
AL
Other
Enumeration date
10/03/2006
Last updated
08/22/2020
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