Organization
MONROVIA FAMILY PHARMACY
Active
Other names
MONROVIA FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA FLOYD (OWNER)
(256) 721-0128
Entity
Organization
Contact information
Practice address
7190 WALL TRIANA HWY, STE B AND C, MADISON, AL 35757-7464
(256) 726-0208
(256) 726-0211
Mailing address
7190 WALL TRIANA HWY, STE B AND C, MADISON, AL 35757-7464
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113082
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135221
OTHER ID NUMBER
—
Enumeration date
03/24/2008
Last updated
04/29/2008
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