State Market Insights
By Category
All Pharmacies
1,146
Retail
903
Specialty
63
Hospital
28
LTC
102
MailOrder
27
Wholesale
5
Remote
18
Market Scale
Population
5,028,092
Density (all) /10k
2.28
Density (retail) /10k
1.80
Pharmacy Desert Counties
17
Avg. VigilScale™
56/100
Avg. Enrollment Age
14 yrs
Chain Mix
Solo (1)
337
Small Group (2–9)
127
Mid Chain (10–49)
39
Large Chain (50+)
54
Mega Chain
589
Special Designations
Independent
337
Sterile Compounding
39
Tele-Pharmacy
18
Government Owned
15
Non-Profit
21
Top Chains
WALGREENS
18%
CVS
14%
WALMART
12%
Alabama Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Alabama
Search recently enrolled pharmacies and filter by category
Alabama Board of Pharmacy
State Regulator
Visit official state pharmacy board website
AL PDMP
Official Program Information
Prescription Drug Monitoring Program requirements and information
AL PDMP
Clinical Login
Look up patient prescription history before dispensing controlled substances
AL PDMP
Data Submission Portal
Submit prescription dispensing data to state monitoring database
Quick Facts
Key regulatory requirements and practice standards
Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of 1:3 (1:4 if 2 are certified) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 15 hrs annually (3 live) of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: Registration required.
Intern Supervision
Pharmacy intern supervision follows this standard: 1:1.
Remote Pharmacy
Remote pharmacy work and telepharmacy services are governed by these rules: Data entry only.
Vaccine Authority
Pharmacist authority to administer vaccines: Protocol-based.
Regulatory Warnings
Compliance requirements and monitoring obligations
Pharmacist in Charge Notification
When a Pharmacist in Charge (PIC) changes, the pharmacy must notify the state board within the following timeframe: 10 days.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Next business day.
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Voluntary.
Board Inspection Focus
State pharmacy board inspections frequently focus on: Supervising pharmacist must be present 50% of hours..
Top Cities by Pharmacy Count
Largest pharmacy markets in Alabama
Browse by County
All counties sorted by pharmacy count
Jefferson County
672,265 pop · 131 retail · 1.95 density
Mobile County
413,878 pop · 91 retail · 2.20 density
Madison County
389,781 pop · 90 retail · 2.31 density
Baldwin County
233,420 pop · 48 retail · 2.06 density
Montgomery County
228,132 pop · 41 retail · 1.80 density
Shelby County
223,916 pop · 51 retail · 2.28 density
Tuscaloosa County
231,558 pop · 40 retail · 1.73 density
Lee County
175,126 pop · 22 retail · 1.26 density
Houston County
107,040 pop · 26 retail · 2.43 density
Calhoun County
116,162 pop · 23 retail · 1.98 density
Morgan County
123,102 pop · 22 retail · 1.79 density
Walker County
64,978 pop · 18 retail · 2.77 density
Cullman County
88,284 pop · 16 retail · 1.81 density
Marshall County
97,923 pop · 15 retail · 1.53 density
Lauderdale County
94,329 pop · 15 retail · 1.59 density
Talladega County
81,105 pop · 14 retail · 1.73 density
Colbert County
57,270 pop · 12 retail · 2.10 density
Jackson County
52,618 pop · 12 retail · 2.28 density
Elmore County
87,694 pop · 13 retail · 1.48 density
Russell County
58,849 pop · 12 retail · 2.04 density
Autauga County
58,761 pop · 10 retail · 1.70 density
Etowah CountyPharmacy Desert
103,348 pop · 10 retail · 0.97 density
DeKalb County
71,680 pop · 8 retail · 1.12 density
Escambia County
36,755 pop · 8 retail · 2.18 density
Limestone County
104,199 pop · 11 retail · 1.06 density
St. Clair CountyPharmacy Desert
91,719 pop · 8 retail · 0.87 density
Tallapoosa County
41,251 pop · 9 retail · 2.18 density
Blount County
59,077 pop · 8 retail · 1.35 density
Franklin County
32,011 pop · 8 retail · 2.50 density
Pike County
32,997 pop · 7 retail · 2.12 density
Clarke County
23,058 pop · 8 retail · 3.47 density
Covington County
37,542 pop · 6 retail · 1.60 density
Coffee CountyPharmacy Desert
53,559 pop · 5 retail · 0.93 density
Dale CountyPharmacy Desert
49,455 pop · 3 retail · 0.61 density
Geneva County
26,647 pop · 6 retail · 2.25 density
Chilton County
45,140 pop · 5 retail · 1.11 density
Dallas County
38,326 pop · 5 retail · 1.30 density
Henry County
17,282 pop · 6 retail · 3.47 density
Randolph County
22,179 pop · 3 retail · 1.35 density
Barbour County
24,877 pop · 3 retail · 1.21 density
Bibb County
22,251 pop · 3 retail · 1.35 density
Butler County
18,981 pop · 5 retail · 2.63 density
Lawrence County
33,116 pop · 5 retail · 1.51 density
Winston County
23,655 pop · 4 retail · 1.69 density
Chambers County
34,612 pop · 4 retail · 1.16 density
Conecuh County
11,576 pop · 3 retail · 2.59 density
Marengo CountyPharmacy Desert
19,180 pop · 1 retail · 0.52 density
Monroe County
19,816 pop · 4 retail · 2.02 density
Washington County
15,434 pop · 3 retail · 1.94 density
Cherokee County
25,069 pop · 3 retail · 1.20 density
Fayette County
16,297 pop · 3 retail · 1.84 density
Marion County
29,203 pop · 3 retail · 1.03 density
Pickens County
18,925 pop · 3 retail · 1.59 density
Bullock CountyPharmacy Desert
10,328 pop · 1 retail · 0.97 density
Choctaw CountyPharmacy Desert
12,669 pop · 1 retail · 0.79 density
Clay CountyPharmacy Desert
14,209 pop · 1 retail · 0.70 density
Crenshaw County
13,205 pop · 2 retail · 1.51 density
Lamar County
13,885 pop · 2 retail · 1.44 density
Cleburne CountyPharmacy Desert
15,144 pop · 0 retail · 0.00 density
Coosa CountyPharmacy Desert
10,329 pop · 0 retail · 0.00 density
Hale CountyPharmacy Desert
14,742 pop · 1 retail · 0.68 density
Macon CountyPharmacy Desert
19,198 pop · 1 retail · 0.52 density
Wilcox CountyPharmacy Desert
10,441 pop · 1 retail · 0.96 density
Greene CountyPharmacy Desert
7,706 pop · 0 retail · 0.00 density
Lowndes CountyPharmacy Desert
10,153 pop · 0 retail · 0.00 density
Perry CountyPharmacy Desert
8,479 pop · 0 retail · 0.00 density
Sumter CountyPharmacy Desert
12,196 pop · 0 retail · 0.00 density
* Pharmacy Desert: fewer than 1 retail pharmacy per 10,000 residents, based on 2026 NPI and ROPA billing data.