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Organization
CHASE PHARMACY INC
Active
Organization
CHASE PHARMACY INC
Active
Other names
CHASE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SANSOM (PRESIDENT AND PHCIST)
(256) 851-1345
Entity
Organization
Contact information
Practice address
2700 WINCHESTER RD NE STE B, HUNTSVILLE, AL 35811-9230
(256) 851-1345
(256) 851-1347
Mailing address
2700 WINCHESTER RD NE STE B, HUNTSVILLE, AL 35811-9230
(256) 851-1345
(256) 851-1347
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
112719
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003664
—
AL
01
—
1995717
PK
—
Enumeration date
01/30/2007
Last updated
09/20/2018
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