Organization
SPECIALTY PHARMACY OF THE SHOALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BOHANNON (PRESIDENT)
(256) 366-3571
Entity
Organization
Contact information
Practice address
1404 E AVALON AVE, TUSCUMBIA, AL 35674-1773
(256) 389-1358
(256) 389-1359
Mailing address
1404 E AVALON AVE, TUSCUMBIA, AL 35674-1773
(256) 389-1358
(256) 389-1359
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
12/28/2016
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