Provider Demographics
NPI:1205840626
Name:WARRIOR PHARMACY
Entity Type:Organization
Organization Name:WARRIOR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-647-0528
Mailing Address - Street 1:219 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:WARRIOR
Mailing Address - State:AL
Mailing Address - Zip Code:35180
Mailing Address - Country:US
Mailing Address - Phone:205-647-0528
Mailing Address - Fax:205-647-0529
Practice Address - Street 1:WARRIOR PHARMACY 219 MAIN ST. N
Practice Address - Street 2:
Practice Address - City:WARRIOR
Practice Address - State:AL
Practice Address - Zip Code:35180
Practice Address - Country:US
Practice Address - Phone:205-647-0528
Practice Address - Fax:205-647-0529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL6376183500000X
AL109970332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies