# DADEVILLE PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeshore Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366914202
- **Authorized official:** JOE A DALTON RPH (OWNER)
- **Authorized official phone:** (334) 797-7992

## Contact information

- **Practice address:** 221 E SOUTH ST, DADEVILLE, AL 36853-1923
- **Practice address phone:** (256) 825-0063
- **Practice address fax:** (256) 825-5584
- **Mailing address:** PO BOX 279, SLOCOMB, AL 36375-0279
- **Mailing address phone:** (334) 797-7992
- **Mailing address fax:** (256) 825-5584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 11/03/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 226751 | — | AL |