Healthcare Provider Details
I. General information
NPI: 1154340750
Provider Name (Legal Business Name): WEARS DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2006
Last Update Date: 03/07/2023
Certification Date: 05/18/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2721 AL HWY 20
TOWN CREEK AL
35672
US
IV. Provider business mailing address
PO BOX 910
TOWN CREEK AL
35672-0910
US
V. Phone/Fax
- Phone: 256-685-3530
- Fax: 256-685-3523
- Phone: 256-685-3530
- Fax: 256-685-3523
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 110414 |
| License Number State | AL |
VIII. Authorized Official
Name: MR.
FLAVIL
LEE
WEAR
II
Title or Position: PRESIDENT OWNER
Credential: RPH
Phone: 256-685-3530