Provider Demographics
NPI:1518027283
Name:LEIGHTON PHARMACY INC
Entity Type:Organization
Organization Name:LEIGHTON PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:HOPKINS
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-446-6527
Mailing Address - Street 1:2230 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:LEIGHTON
Mailing Address - State:AL
Mailing Address - Zip Code:35646-3819
Mailing Address - Country:US
Mailing Address - Phone:256-446-6527
Mailing Address - Fax:256-446-2585
Practice Address - Street 1:2230 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:LEIGHTON
Practice Address - State:AL
Practice Address - Zip Code:35646-3819
Practice Address - Country:US
Practice Address - Phone:256-446-6527
Practice Address - Fax:256-446-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10454183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100003311Medicaid
AL009924950Medicaid
AL0119645OtherNABP
AL106070OtherALABAMA STATE BOARD #
AL106070OtherALABAMA STATE BOARD #
AL009924950Medicaid