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Contact Information

YOUNGS DRUG STORE LLC
88960 HWY 9
LINEVILLE, AL36266
 Phone: 256-396-5632
 Fax: 256-396-5142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for YOUNGS DRUG STORE LLC

NPI Number 1184738148
LBN Legal business name YOUNGS DRUG STORE LLC
Authorized official ERIC SMITH - (MNGR, OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 01/19/2018 - About 8 years ago
Identifiers
AL License # 12660
AL Medicaid 100003274
Other 1988812 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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