Organization
TENNESSEE VALLEY HEALTHCARE LLC
Active
Other names
Hazel Green Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHANDLER THOMAS WILLINGHAM RPH (CO-OWNER/PHARMACIST)
(256) 813-0150
Entity
Organization
Contact information
Practice address
13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
(256) 813-0150
(256) 813-0149
Mailing address
13574 HIGHWAY 231 431 N STE B, HAZEL GREEN, AL 35750-8642
(256) 813-0150
(256) 813-0149
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112435
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996955
—
AL
05
—
100003533
—
AL
Enumeration date
07/03/2006
Last updated
02/24/2015
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