Organization
QUALITY OF LIFE HEALTH SERVICES INC
Active
Other names
Woodland Quality Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK AUSTIN (DIRECTOR OF PHARMACY)
(256) 393-4063
Entity
Organization
Contact information
Practice address
24460 HIGHWAY 48, WOODLAND, AL 36280-5204
(256) 449-9191
Mailing address
PO BOX 97, GADSDEN, AL 35902-0097
(256) 393-4063
(256) 543-0340
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
113695
AL
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137124
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/12/2011
Last updated
01/24/2013
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