| NPI | 1851881080 |
|---|---|
| Doing Business As | CVMC APOTHECARY |
| Doing Business As | COOSA VALLEY APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | ROLAND LEE THACKER CFO 256-401-4534 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-03-04 |