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Organization

THE EAST ALABAMA HEALTH CARE AUTHORITY

Active
Other names
East Alabama Apothecary Store 1
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL A PRICE JR. (CFO)
(334) 528-1310
Entity
Organization

Contact information

Practice address
2000 PEPPERELL PKWY STE 292, SUITE 292, OPELIKA, AL 36801-5452
(334) 528-2293
(334) 528-4702
Mailing address
2000 PEPPERELL PKWY STE 292, OPELIKA, AL 36801-5452
(334) 528-2293
(334) 528-4702

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
PHNR001136
GA
3336C0003X
Community/Retail Pharmacy
Primary
114653
AL
3336M0002X
Mail Order Pharmacy
3336S0011X
Specialty Pharmacy

Other

Enumeration date
01/17/2007
Last updated
07/16/2024
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