Organization
ARLEY COUNTRY PHARMACY LLC
Active
Other names
ARLEY COUNTRY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENELLA BURTON (OWNER)
(205) 387-0526
Entity
Organization
Contact information
Practice address
6168 COUNTY ROAD 41, ARLEY, AL 35541-3372
(205) 295-9290
(205) 295-9289
Mailing address
PO BOX 477, ARLEY, AL 35541-0477
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112871
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134128
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/23/2006
Last updated
04/20/2011
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