# THE SYLACAUGA HEALTH CARE AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THE SYLACAUGA HEALTH CARE AUTHORITY
- **Other names:** Coosa Valley Specialty Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689380800
- **Legal business name:** THE SYLACAUGA HEALTH CARE AUTHORITY
- **Authorized official:** GLENN SISK (CEO)
- **Authorized official phone:** (256) 401-4602

## Contact information

- **Practice address:** 315 W HICKORY ST STE 151, SYLACAUGA, AL 35150-2913
- **Practice address phone:** (256) 401-4690
- **Practice address fax:** (256) 401-4693
- **Mailing address:** 315 W HICKORY ST STE 151, SYLACAUGA, AL 35150-2913
- **Mailing address phone:** (256) 401-4690
- **Mailing address fax:** (256) 401-4693

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2023
- **Last updated:** 01/31/2023