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Organization

THE EAST ALABAMA HEALTH CARE AUTHORITY

Active
Other names
EAMC HOME CARE PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL WOOD (PHARMACIST)
(334) 821-7843
Entity
Organization

Contact information

Practice address
665 OPELIKA RD, AUBURN, AL 36830-4013
(334) 821-7843
(334) 821-8894
Mailing address
665 OPELIKA RD, AUBURN, AL 36830-4013
(334) 821-7843
(334) 821-8894

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336M0002X
Mail Order Pharmacy
Primary
111272
AL
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128579
NCPDP PROVIDER IDENTIFICATION NUMBER
05
100010006
AL
Enumeration date
07/30/2006
Last updated
12/30/2010
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