Organization
PARKS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA SONYA GLOVER (PRESIDENT)
(323) 314-4680
Entity
Organization
Contact information
Practice address
825 W MEIGHAN BLVD, GADSDEN, AL 35901-3300
(256) 467-4054
(256) 467-4335
Mailing address
PO BOX 250310, MONTGOMERY, AL 36125-0310
(256) 467-4054
(334) 323-5663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113422
AL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126232
PK
—
Enumeration date
08/19/2010
Last updated
07/03/2020
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