Organization
VALLEY PHARMACY & DME OF EAST ALABAMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MOORE RPH (PRESIDENT)
(334) 756-2037
Entity
Organization
Contact information
Practice address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-2037
(334) 756-9024
Mailing address
4103 20TH AVE, VALLEY, AL 36854-3448
(334) 756-2037
(334) 756-9024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
AL
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107917
NCPDP
AL
05
—
143180
—
AL
Enumeration date
10/28/2005
Last updated
01/22/2016
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