| NPI | 1689380800 |
|---|---|
| Doing Business As | COOSA VALLEY SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GLENN SISK CEO 256-401-4602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |