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Organization
VALLEY PHARMACY & DME OF EAST ALABAMA INC
Active
Organization
VALLEY PHARMACY & DME OF EAST ALABAMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG LANE MOORE (OWNER)
(334) 756-2037
Entity
Organization
Contact information
Practice address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-2037
(334) 756-9024
Mailing address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-2037
(334) 756-9024
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1388888
—
AL
Enumeration date
07/19/2019
Last updated
07/19/2019
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