# TENNESSEE VALLEY HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hazel Green Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104856459
- **Authorized official:** MR. CHANDLER THOMAS WILLINGHAM RPH (CO-OWNER/PHARMACIST)
- **Authorized official phone:** (256) 813-0150

## Contact information

- **Practice address:** 13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
- **Practice address phone:** (256) 813-0150
- **Practice address fax:** (256) 813-0149
- **Mailing address:** 13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
- **Mailing address phone:** (256) 813-0150
- **Mailing address fax:** (256) 813-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 112435 | AL | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 02/24/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009996955 | — | AL |
| 05 | — | 100003533 | — | AL |