Healthcare Provider Details

I. General information

NPI: 1376017764
Provider Name (Legal Business Name): WEARS DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2019
Last Update Date: 01/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12126 JACKSON STREET
COURTLAND AL
35618
US

IV. Provider business mailing address

PO BOX 910
TOWN CREEK AL
35672-0910
US

V. Phone/Fax

Practice location:
  • Phone: 256-685-3530
  • Fax:
Mailing address:
  • Phone: 256-685-3530
  • Fax: 256-685-3523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FLAVIL LEE WEAR II
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 256-685-3530