Provider Demographics
NPI:1154340750
Name:WEARS DRUGS INC
Entity type:Organization
Organization Name:WEARS DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FLAVIL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WEAR
Authorized Official - Suffix:II
Authorized Official - Credentials:RPH
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 1:2721 AL HWY 20
Practice Address - Street 2:
Practice Address - City:TOWN CREEK
Practice Address - State:AL
Practice Address - Zip Code:35672
Practice Address - Country:US
Practice Address - Phone:256-685-3530
Practice Address - Fax:256-685-3523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1104143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009936220Medicaid
AL100003177Medicaid
AL009936220OtherMEDICAID DME NUMBER
051554446WAEOtherMEDICARE FLU SHOT NUMBER
AL110414OtherPHARAMCY LICENSE NUMBER
AL110414OtherPHARAMCY LICENSE NUMBER