Provider Demographics
NPI:1073175840
Name:DCH PHARMACY AT DCH MEDICAL TOWER
Entity Type:Organization
Organization Name:DCH PHARMACY AT DCH MEDICAL TOWER
Other - Org Name:DCH PHARMACY AT THE MEDICAL TOWER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE DIRECTOR PHARMACY SRVS
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNE
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:205-759-7944
Mailing Address - Street 1:809 UNIVERSITY BLVD E
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-2029
Mailing Address - Country:US
Mailing Address - Phone:205-759-7944
Mailing Address - Fax:
Practice Address - Street 1:701 UNIVERSITY BLVD E STE M04
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-7422
Practice Address - Country:US
Practice Address - Phone:205-750-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DCH HEALTH CARE AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-02
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy