Fayette Pharmacy

LBN: Fayette Pharmacy Inc
Fayette Pharmacy is an health care organization with primary practice located at 1128 2Nd Ave Ne , Fayette AL 35555-1739. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Fayette Pharmacy Inc can be contacted via phone (205) 932-5400, or through Wilson, Summer via phone (205) 712-1685.

Contact Information

Primary practice address
1128 2Nd Ave Ne Fayette AL 35555-1739
Phone: (205) 932-5400
Fax: (205) 932-5401
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Summer
Phone: (205) 712-1685

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 113087 Alabama

Profile Details

NPI number 1114191459
LBN Legal business name Fayette Pharmacy Inc
DBA Doing business as Fayette Pharmacy
Authorized official Wilson, Summer
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2008
Last updated Jul 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114191459 NPPES
Other 0135233 NCPDP PROVIDER IDENTIFICATION NUMBER

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