Coosa Valley Apothecary Ll

NPI #1588126809 in Sylacauga, Alabama

Provider Information

NPI Number
1588126809
Entity Type
Organization
Organization Name
Coosa Valley Apothecary Ll
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 4, 2019
Last Updated
Apr 8, 2019

Practice Location

Address
315 W HICKORY ST STE 150
State
Alabama
ZIP Code
35150-2913
Phone
(256) 401-4534

Authorized Official

Name
MR. ROLAND THACKER
Title
CFO
Phone
(256) 401-4534

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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