Organization
BRYAN PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUBERT RAY BRYAN JR. RPH (PRESIDENT)
(334) 347-5111
Entity
Organization
Contact information
Practice address
736 GLOVER AVE, ENTERPRISE, AL 36330-2018
(334) 347-5111
(334) 347-7100
Mailing address
736 GLOVER AVE., ENTERPRISE, AL 36330-2018
(334) 347-5111
(334) 347-7100
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
112343
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131982
NCPDP
AL
05
—
100003576
—
AL
Enumeration date
07/07/2005
Last updated
05/02/2012
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