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Organization
THE SYLACAUGA HEALTH CARE AUTHORITY
Active
Organization
THE SYLACAUGA HEALTH CARE AUTHORITY
Active
Parent organization
THE SYLACAUGA HEALTH CARE AUTHORITY
Other names
CVMC Apothecary, Coosa Valley Apothecary
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SYLACAUGA HEALTH CARE AUTHORITY
Authorized official
ROLAND LEE THACKER (CFO)
(256) 401-4534
Entity
Organization
Contact information
Practice address
315 W HICKORY ST STE 150, SYLACAUGA, AL 35150-2913
(256) 401-4534
(256) 401-4603
Mailing address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4534
(256) 401-4603
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H6102
HOSPITAL LICENSE
AL
05
—
HOS0164H
—
AL
Enumeration date
05/14/2018
Last updated
03/04/2019
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