Provider Demographics
NPI:1457492183
Name:MEDICINE FOR LESS INC
Entity Type:Organization
Organization Name:MEDICINE FOR LESS INC
Other - Org Name:SMITHERMANS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUNNARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-665-2575
Mailing Address - Street 1:703 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTEVALLO
Mailing Address - State:AL
Mailing Address - Zip Code:35115-3714
Mailing Address - Country:US
Mailing Address - Phone:205-665-2575
Mailing Address - Fax:205-665-0940
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTEVALLO
Practice Address - State:AL
Practice Address - Zip Code:35115-3714
Practice Address - Country:US
Practice Address - Phone:205-665-2575
Practice Address - Fax:205-665-0940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1089303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100000835Medicaid
1987927OtherPK