# LINEVILLE CLINIC PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOWRY DRUGS AND GIFTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194730705
- **Authorized official:** MARK LOWRY PHRM (OWNER)
- **Authorized official phone:** (334) 863-6337

## Contact information

- **Practice address:** 3705 HIGHWAY 431 STE B, ROANOKE, AL 36274-1430
- **Practice address phone:** (334) 863-6337
- **Practice address fax:** (334) 863-6339
- **Mailing address:** PO BOX 248, ROANOKE, AL 36274-0248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 114138 | AL | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 07/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003783 | — | AL |
| 01 | — | 1988811 | PK | — |