Organization
ALLIANCE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WILLIAMSON (OWNER)
(334) 875-7223
Entity
Organization
Contact information
Practice address
133 1HALF BROAD ST, SELMA, AL 36701
(334) 872-7119
(334) 872-6906
Mailing address
PO BOX 887, SELMA, AL 36702-0887
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
113034
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134849
OTHER ID NUMBER
—
Enumeration date
10/24/2007
Last updated
12/07/2007
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