Coosa Valley Medical Center Pharmacy

LBN: Sylacauga Health Care Authority Inc
Coosa Valley Medical Center Pharmacy is an health care organization with primary practice located at 315 W Hickory St , Sylacauga AL 35150-2913. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Sylacauga Health Care Authority Inc can be contacted via phone (256) 401-4065, or through Crane, Gregory via phone (256) 401-4066.

Contact Information

Primary practice address
315 W Hickory St Sylacauga AL 35150-2913
Phone: (256) 401-4065
Fax: (256) 401-4099
Website:
Map and Directions
Authorized official contact:
Name: Crane, Gregory BSPHARM
Phone: (256) 401-4066

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Institutional Pharmacy 3336I0012X 130008 Alabama
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1356385983
LBN Legal business name Sylacauga Health Care Authority Inc
DBA Doing business as Coosa Valley Medical Center Pharmacy
Authorized official Crane, Gregory BSPHARM
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356385983 NPPES
Other 1989675 PK
MEDICAID 100010002 PK

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