Healthcare Provider Details

I. General information

NPI: 1720565963
Provider Name (Legal Business Name): HH HEALTH SYSTEM - RETAIL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2018
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22454 US HWY 72 SUITE 120
ATHENS AL
35613
US

IV. Provider business mailing address

22454 US HWY 72 SUITE 120
ATHENS AL
35613
US

V. Phone/Fax

Practice location:
  • Phone: 256-262-6450
  • Fax: 256-262-6453
Mailing address:
  • Phone: 256-262-6450
  • Fax: 256-262-6453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number114833
License Number StateAL

VIII. Authorized Official

Name: MR. JEFF SAMZ
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 256-265-8123