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Organization
QUALITY OF LIFE HEALTH SERVICES INC.
Active
Organization
QUALITY OF LIFE HEALTH SERVICES INC.
Active
Other names
ROBERTA WATTS MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK AUSTIN (PHARMACY DIRECTOR)
(256) 439-6402
Entity
Organization
Contact information
Practice address
1020 TUSCALOOSA AVE, GADSDEN, AL 35901-3005
(256) 439-6402
(256) 492-9147
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
113224
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135788
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
01/14/2009
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