Healthcare Provider Details

I. General information

NPI: 1033032826
Provider Name (Legal Business Name): BOONE PHARMACY MANAGEMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 COMMERCE ST
JACKSON AL
36545-2717
US

IV. Provider business mailing address

PO BOX 426
JACKSON AL
36545-0426
US

V. Phone/Fax

Practice location:
  • Phone: 251-246-3616
  • Fax: 251-246-2277
Mailing address:
  • Phone: 251-246-3616
  • Fax: 251-246-2277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RICHARD LAMAR BOONE
Title or Position: PRESIDENT
Credential: RPH
Phone: 334-341-3466