# VALLEY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Russellville Drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609270842
- **Authorized official:** WES MAYFIELD (OWNER)
- **Authorized official phone:** (256) 412-8288

## Contact information

- **Practice address:** 14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
- **Practice address phone:** (256) 331-1919
- **Practice address fax:** (256) 331-1960
- **Mailing address:** 14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
- **Mailing address phone:** (256) 331-1919
- **Mailing address fax:** (256) 331-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114426 | AL | Yes |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 05/01/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 167263 | — | AL |
| 01 | — | 2148486 | PK | — |