Organization
FAF INC
Active
Other names
Sparkman Pharmacy-Franklin
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY WATSON (PHCY MANGER/AO)
(256) 705-6499
Entity
Organization
Contact information
Practice address
115 SAINT CLAIR AVE SE STE 300, HUNTSVILLE, AL 35801-4344
(256) 429-9821
(256) 429-9823
Mailing address
115 SAINT CLAIR AVE SE STE 300, HUNTSVILLE, AL 35801-4344
(256) 429-9821
(256) 429-9823
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114664
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195707
—
AL
01
—
2166117
PK
—
Enumeration date
09/20/2016
Last updated
11/14/2024
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