Provider Demographics
NPI:1497855449
Name:HAYMON DRUGS INC
Entity Type:Organization
Organization Name:HAYMON DRUGS INC
Other - Org Name:HAYMON DRUGS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-638-4142
Mailing Address - Street 1:PO BOX 428
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-0428
Mailing Address - Country:US
Mailing Address - Phone:256-638-4142
Mailing Address - Fax:256-638-4149
Practice Address - Street 1:128 MAIN ST E
Practice Address - Street 2:
Practice Address - City:RAINSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35986-4555
Practice Address - Country:US
Practice Address - Phone:256-638-4142
Practice Address - Fax:256-638-4149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1124943336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0132516OtherNCPDP PROVIDER IDENTIFICATION NUMBER