Organization
PHARMACY OF MADISON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT JOHNSON SPEEGLE (OWNER)
(256) 227-8467
Entity
Organization
Contact information
Practice address
97 HUGHES RD, SUITE A, MADISON, AL 35758-3400
(256) 227-8467
(256) 771-0610
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
—
—
Other
Enumeration date
12/24/2010
Last updated
12/24/2010
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