Organization
FAF INC
Active
Parent organization
FAF INC
Other names
SPARKMAN PHARMACY AT WELLSTONE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAF INC
Authorized official
ASHLEY WATSON (PHARMACY MANAGER)
(256) 705-6499
Entity
Organization
Contact information
Practice address
4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL 35802-4364
(256) 705-6499
(256) 705-6497
Mailing address
4040 MEMORIAL PKWY SW STE L, HUNTSVILLE, AL 35802-4364
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182372
—
AL
Enumeration date
12/17/2018
Last updated
12/09/2019
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