Healthcare Provider Details

I. General information

NPI: 1952008229
Provider Name (Legal Business Name): LOXLEY DRUGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 E RELHAM DR
LOXLEY AL
36551-2413
US

IV. Provider business mailing address

2140 E RELHAM DR
LOXLEY AL
36551-2413
US

V. Phone/Fax

Practice location:
  • Phone: 251-964-5332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: WESLEY SMITH
Title or Position: OWNER
Credential: PHARMD
Phone: 251-236-1438