Provider Demographics
NPI:1376017764
Name:WEARS DRUGS INC
Entity Type:Organization
Organization Name:WEARS DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WEAR
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:256-685-3530
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:TOWN CREEK
Mailing Address - State:AL
Mailing Address - Zip Code:35672-0910
Mailing Address - Country:US
Mailing Address - Phone:256-685-3530
Mailing Address - Fax:256-685-3523
Practice Address - Street 1:12126 JACKSON STREET
Practice Address - Street 2:
Practice Address - City:COURTLAND
Practice Address - State:AL
Practice Address - Zip Code:35618
Practice Address - Country:US
Practice Address - Phone:256-685-3530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WEARS DRUGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy