Provider Demographics
NPI:1710008768
Name:QUALITY OF LIFE HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:QUALITY OF LIFE HEALTH SERVICES INC.
Other - Org Name:ANNISTON QUALITY HEALT CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-439-6300
Mailing Address - Street 1:1316 NOBLE ST STE 1C
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-4643
Mailing Address - Country:US
Mailing Address - Phone:256-439-6393
Mailing Address - Fax:256-235-2751
Practice Address - Street 1:1316 NOBLE ST STE 1C
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4643
Practice Address - Country:US
Practice Address - Phone:256-439-6393
Practice Address - Fax:256-235-2751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL112644333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy