Organization
THE EAST ALABAMA HEALTH CARE AUTHORITY
Active
Other names
East Alabama Apothecary Store 3, East Alabama Apothecary Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL A PRICE JR. (CFO)
(334) 528-1310
Entity
Organization
Contact information
Practice address
1171 GATEWOOD DR STE 1200, AUBURN, AL 36830-1817
(334) 528-3950
Mailing address
1171 GATEWOOD DR STE 1200, AUBURN, AL 36830-1817
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
07/16/2024
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