Healthcare Provider Details
I. General information
NPI: 1295747657
Provider Name (Legal Business Name): GNH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10155 HIGHWAY 431 S
NEW HOPE AL
35760-9390
US
IV. Provider business mailing address
10155 HIGHWAY 431 S
NEW HOPE AL
35760-9390
US
V. Phone/Fax
- Phone: 256-723-4112
- Fax: 256-723-5400
- Phone: 256-723-4112
- Fax: 256-723-5400
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 110688 |
| License Number State | AL |
VIII. Authorized Official
Name: MR.
ANTHONY
SCOTT
CHANDLER
Title or Position: VP GNH INC
Credential:
Phone: 256-723-4112