Organization
VALLEY HEALTHCARE
Active
Other names
Russellville Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
WES MAYFIELD (OWNER)
(256) 412-8288
Entity
Organization
Contact information
Practice address
14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
(256) 331-1919
(256) 331-1960
Mailing address
14001 HIGHWAY 43, STE 13, RUSSELLVILLE, AL 35653-2848
(256) 331-1919
(256) 331-1960
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114426
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167263
—
AL
01
—
2148486
PK
—
Enumeration date
10/17/2014
Last updated
05/01/2017
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