Lakeshore Discount Pharmacy

LBN: Long'S Lakeshore Discount Pharmacy Llc
Lakeshore Discount Pharmacy is an health care organization with primary practice located at 221 E South St , Dadeville AL 36853-1923. 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. Long'S Lakeshore Discount Pharmacy Llc can be contacted via phone (256) 825-0063, or through Long, Eric via phone (256) 825-0063.

Contact Information

Primary practice address
221 E South St Dadeville AL 36853-1923
Fax: (256) 825-5584
Website:
Authorized official contact:
Name: Long, Eric PHARMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 110492 Alabama

Profile Details

NPI number 1386705440
LBN Legal business name Long'S Lakeshore Discount Pharmacy Llc
DBA Doing business as Lakeshore Discount Pharmacy
Authorized official Long, Eric PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jan 21st, 2016 - about 10 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 1386705440 NPPES
Alabama MEDICAID 100002455
Alabama Other 0123721

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