Organization
QUALITY OF LIFE HEALTH SERVICES INC.
Active
Other names
ROBERTA WATTS MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK AUSTIN (PHARMACY DIRECTOR)
(256) 439-6402
Entity
Organization
Contact information
Practice address
1020 TUSCALOOSA AVE, GADSDEN, AL 35901-3005
(256) 439-6402
(256) 492-9147
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
113224
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0135788
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/14/2009
Last updated
01/14/2009
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