Provider Demographics
NPI:1962545897
Name:SPEARS PHARMACY
Entity type:Organization
Organization Name:SPEARS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:256-362-1120
Mailing Address - Street 1:PO BOX 6135
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35161-6135
Mailing Address - Country:US
Mailing Address - Phone:256-362-1120
Mailing Address - Fax:256-362-1121
Practice Address - Street 1:121 JOHNSON AVE N
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2484
Practice Address - Country:US
Practice Address - Phone:256-362-1120
Practice Address - Fax:256-362-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL109040332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies