Healthcare Provider Details

I. General information

NPI: 1336557446
Provider Name (Legal Business Name): HH HEALTH SYSTEM - RETAIL PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2014
Last Update Date: 06/08/2020
Certification Date: 06/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S. MONTGOMERY AVE.
SHEFFIELD AL
35660
US

IV. Provider business mailing address

1300 S MONTGOMERY AVE
SHEFFIELD AL
35660
US

V. Phone/Fax

Practice location:
  • Phone: 256-386-4600
  • Fax: 256-386-4676
Mailing address:
  • Phone: 256-386-4600
  • Fax: 256-386-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number114369
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number114369
License Number StateAL

VIII. Authorized Official

Name: JEFF SAMZ
Title or Position: EVP
Credential:
Phone: 256-265-2853