Organization
FORT PAYNE PHARMACY LLC
Active
Other names
Fort Payne Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LEATRICIA LYNN BONNER (OWNER)
(256) 845-3402
Entity
Organization
Contact information
Practice address
1614A GLENN BLVD SW, FORT PAYNE, AL 35968-3522
(256) 845-3402
(256) 845-3289
Mailing address
1614A GLENN BLVD SW, FORT PAYNE, AL 35968-3522
(256) 845-3402
(256) 845-3289
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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