Organization
EAST ALABAMA MENTAL HEALTH-MENTAL RETARDATION BOARD INCORPOR
Active
Other names
East Alabama Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE COTNEY (PHARMACIST)
(334) 742-2700
Entity
Organization
Contact information
Practice address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2733
(334) 742-2833
Mailing address
2506 LAMBERT DR, OPELIKA, AL 36801-7237
(334) 742-2733
(334) 742-2833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114528
AL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002807
—
AL
01
—
2134256
PK
—
Enumeration date
07/20/2006
Last updated
01/12/2016
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