Lakeside Pharmacy Of Alabama, Inc.

LBN: Lakeside Pharmacy Of Alabama Inc
Lakeside Pharmacy Of Alabama, Inc. is an health care organization with primary practice located at 17054 Highway 431 , Wedowee AL 36278-4572. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lakeside Pharmacy Of Alabama Inc can be contacted via phone (256) 357-2315, or through Jacks, Will via phone (256) 357-2315.

Contact Information

Primary practice address
17054 Highway 431 Wedowee AL 36278-4572
Phone: (256) 357-2315
Fax: (256) 357-2319
Website:
Map and Directions
Authorized official contact:
Name: Jacks, Will
Phone: (256) 357-2315

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 113866 Alabama

Profile Details

NPI number 1518232941
LBN Legal business name Lakeside Pharmacy Of Alabama Inc
DBA Doing business as Lakeside Pharmacy Of Alabama, Inc.
Authorized official Jacks, Will
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2012
Last updated Apr 20th, 2012 - about 14 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 1518232941 NPPES
Other 0137679 NCPDP PROVIDER IDENTIFICATION NUMBER

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