Provider Demographics
NPI:1497472567
Name:THE DCH HEALTH CARE AUTHORITY
Entity Type:Organization
Organization Name:THE DCH HEALTH CARE AUTHORITY
Other - Org Name:PHIFERCARES PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE DIRECTOR PHARMACY SVCS
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:ATTN PHARMACY
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 1:3702 TREVOR S PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401
Practice Address - Country:US
Practice Address - Phone:205-750-4344
Practice Address - Fax:888-385-2790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DCH HEALTH CARE AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-20
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL11111111OtherALABAMA BOARD OF PHARMACY