Total Life Care Compounding

LBN: Lake Side Pharmacy
Total Life Care Compounding is an health care organization with primary practice located at 10005 Al Highway 9 N , Cedar Bluff AL 35959-2231. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lake Side Pharmacy can be contacted via phone (844) 236-5360, or through Wilson, Stephen via phone (844) 236-5360.

Contact Information

Primary practice address
10005 Al Highway 9 N Cedar Bluff AL 35959-2231
Phone: (844) 236-5360
Fax: (866) 609-4582
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Stephen PHARM.D.
Phone: (844) 236-5360

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 113926 Alabama

Profile Details

NPI number 1093078768
LBN Legal business name Lake Side Pharmacy
DBA Doing business as Total Life Care Compounding
Authorized official Wilson, Stephen PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2012
Last updated Jan 3rd, 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 1093078768 NPPES
Alabama Other 113926 ALABAMA PHARMACY LICENSE NUMBER

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