# VALLEY PHARMACY & DME OF EAST ALABAMA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265085252
- **Authorized official:** CRAIG LANE MOORE (OWNER)
- **Authorized official phone:** (334) 756-2037

## Contact information

- **Practice address:** 4103 20TH AVE, VALLEY, AL 36854-3448
- **Practice address phone:** (334) 756-2037
- **Practice address fax:** (334) 756-9024
- **Mailing address:** 4103 20TH AVE, VALLEY, AL 36854-3448
- **Mailing address phone:** (334) 756-2037
- **Mailing address fax:** (334) 756-9024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/19/2019
- **Last updated:** 07/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1388888 | — | AL |