Provider Demographics
NPI:1700599255
Name:ROCKFORD PHARMACY
Entity type:Organization
Organization Name:ROCKFORD PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-245-7708
Mailing Address - Street 1:204 PORTER CIR
Mailing Address - Street 2:
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-2834
Mailing Address - Country:US
Mailing Address - Phone:256-245-7708
Mailing Address - Fax:
Practice Address - Street 1:9516 US HIGHWAY 231 STE B
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:AL
Practice Address - Zip Code:35136-5214
Practice Address - Country:US
Practice Address - Phone:256-377-9002
Practice Address - Fax:256-377-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy