Healthcare Provider Details

I. General information

NPI: 1639122542
Provider Name (Legal Business Name): PHARMACY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/11/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 MAIN ST
FYFFE AL
35971-3471
US

IV. Provider business mailing address

1248 MAIN ST PO BOX 410
FYFFE AL
35971-3471
US

V. Phone/Fax

Practice location:
  • Phone: 256-638-6667
  • Fax: 256-638-6658
Mailing address:
  • Phone: 256-638-6667
  • Fax: 256-638-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number10229
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. REGINALD R JONES
Title or Position: MANAGING MEMBER
Credential: PHARMACIST
Phone: 256-638-6667