Shady Acres INC
NPI #1881737526 in Union Springs, Alabama
Provider Information
- NPI Number
- 1881737526
- Entity Type
- Organization
- Organization Name
- Shady Acres INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 302 PRAIRIE ST N
- Address 2
- SUITE 3B
- City
- Union Springs
- State
- Alabama
- ZIP Code
- 36089-1417
- Phone
- (334) 738-2022
Authorized Official
- Name
- BENJAMIN G MAIN SR.
- Title
- MGR
- Phone
- (334) 750-2103
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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