Healthcare Provider Details

I. General information

NPI: 1013902188
Provider Name (Legal Business Name): VALLEY DRUG CO. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 SOMERVILLE RD SE
DECATUR AL
35601-4337
US

IV. Provider business mailing address

1302 SOMERVILLE RD SE
DECATUR AL
35601-4337
US

V. Phone/Fax

Practice location:
  • Phone: 256-355-8015
  • Fax: 256-355-7684
Mailing address:
  • Phone: 256-355-8015
  • Fax: 256-355-7684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number011106
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number109900
License Number StateAL

VIII. Authorized Official

Name: MRS. LESLIE K HOFAMMANN
Title or Position: SUPERVISING PHARMACIST
Credential: RPH
Phone: 256-355-8015