Lake Side Pharmacy

Community/Retail Pharmacy · Cedar Bluff, AL

Organization Active NPI

NPI number 1093078768

Practice location

10005 Al Highway 9 N
Cedar Bluff, AL 35959-2231
Phone
(844) 236-5360
Fax
(866) 609-4582

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NPI record

NPI
1093078768
Entity type
Organization (Type 2)
Enumeration date
June 19, 2012
Last updated
January 3, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Community/Retail Pharmacy Primary 3336C0003X 113926 AL

Authorized official

Name
Dr. Stephen Wilson, PHARM.D.
Title
Pharmacist in Charge
Phone
(844) 236-5360

Other names

  • Total Life Care Compounding

About Lake Side Pharmacy

Lake Side Pharmacy is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 10005 Al Highway 9 N, Cedar Bluff, AL 35959-2231. The NPI number 1093078768 was assigned on June 19, 2012 and the record was last updated on January 3, 2017.

Lake Side Pharmacy lists a license in the registry: #113926 (AL) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Stephen Wilson, PHARM.D., Pharmacist in Charge.

Frequently asked questions

What is the NPI number of Lake Side Pharmacy?

The NPI number is 1093078768.

What is the phone number of Lake Side Pharmacy?

The phone number listed for the practice location is (844) 236-5360.

Where is Lake Side Pharmacy located?

10005 Al Highway 9 N, Cedar Bluff, AL 35959-2231.

What is the taxonomy code for Lake Side Pharmacy?

The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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