Lake Pharmacy Llc

LBN: Lake Pharmacy Llc
Lake Pharmacy Llc is an health care organization with primary practice located at 95 Lightwood Rd Main St Slapout, Deatsville AL 36022-3494. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lake Pharmacy Llc can be contacted via phone (334) 569-2112, or through Golden, Robert via phone (334) 569-2112.

Contact Information

Primary practice address
95 Lightwood Rd Main St Slapout Deatsville AL 36022-3494
Phone: (334) 569-2112
Fax: (334) 569-1143
Website:
Map and Directions
Authorized official contact:
Name: Golden, Robert
Phone: (334) 569-2112

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 105942 Alabama

Profile Details

NPI number 1437209616
LBN Legal business name Lake Pharmacy Llc
DBA Doing business as Lake Pharmacy Llc
Authorized official Golden, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Feb 28th, 2017 - about 9 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 1437209616 NPPES
Alabama MEDICAID 100001378
Alabama Other 2151251

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