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Organization
TENNESSEE VALLEY HEALTHCARE LLC
Active
Organization
TENNESSEE VALLEY HEALTHCARE LLC
Active
Other names
Hazel Green Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDLER THOMAS WILLINGHAM RPH (CO-OWNER/PHARMACIST)
(256) 813-0150
Entity
Organization
Contact information
Practice address
13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
(256) 813-0150
(256) 813-0149
Mailing address
13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
(256) 813-0150
(256) 813-0149
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112435
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996955
—
AL
05
—
100003533
—
AL
Enumeration date
07/03/2006
Last updated
02/24/2015
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