Healthcare Provider Details

I. General information

NPI: 1356381222
Provider Name (Legal Business Name): REFORM PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 1ST STREET SOUTH
REFORM AL
35481
US

IV. Provider business mailing address

PO BOX 337
REFORM AL
35481-0337
US

V. Phone/Fax

Practice location:
  • Phone: 205-375-2505
  • Fax: 205-375-9073
Mailing address:
  • Phone: 205-375-2505
  • Fax: 205-375-9073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateAL

VIII. Authorized Official

Name: MR. PAUL LARRY HANDLEY
Title or Position: PHARMICIST
Credential: RPH
Phone: 205-375-2505