Lakeside Pharmacy

LBN: Edmondson Drug Company Inc
Lakeside Pharmacy is an health care organization with primary practice located at 445 Al Highway 69 S Ste D , Hanceville AL 35077-3437. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Edmondson Drug Company Inc can be contacted via phone (256) 287-9099, or through Edmondson, Charlotte via phone (256) 287-9099.

Contact Information

Primary practice address
445 Al Highway 69 S Ste D Hanceville AL 35077-3437
Phone: (256) 287-9099
Fax: (256) 287-2817
Website:
Map and Directions
Authorized official contact:
Name: Edmondson, Charlotte PHARMD
Phone: (256) 287-9099

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 111500 Alabama

Profile Details

NPI number 1215979885
LBN Legal business name Edmondson Drug Company Inc
DBA Doing business as Lakeside Pharmacy
Authorized official Edmondson, Charlotte PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated Aug 19th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215979885 NPPES
Alabama MEDICAID 100003509
Alabama Other 1995236

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