Provider Demographics
NPI:1659707891
Name:NEW MARKET HEALTHCARE LLC
Entity Type:Organization
Organization Name:NEW MARKET HEALTHCARE LLC
Other - Org Name:NEW MARKET DISCOUNT DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-232-3811
Mailing Address - Street 1:PO BOX 709
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35612-0709
Mailing Address - Country:US
Mailing Address - Phone:256-232-3811
Mailing Address - Fax:256-232-2422
Practice Address - Street 1:5324 WINCHESTER RD
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:AL
Practice Address - Zip Code:35761-7430
Practice Address - Country:US
Practice Address - Phone:256-379-4670
Practice Address - Fax:256-379-4680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-19
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
AL1125503336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2142431OtherPK