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Organization
QUALITY OF LIFE HEALTH SERVICES INC
Active
Organization
QUALITY OF LIFE HEALTH SERVICES INC
Active
Other names
Woodland Quality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK AUSTIN (DIRECTOR OF PHARMACY)
(256) 393-4063
Entity
Organization
Contact information
Practice address
24460 HIGHWAY 48, WOODLAND, AL 36280-5204
(256) 449-9191
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 393-4063
(256) 543-0340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113695
AL
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137124
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/12/2011
Last updated
01/24/2013
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