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Organization

EASTERN SHORE PHARMACY, LLC

Active
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Organization

EASTERN SHORE PHARMACY, LLC

Active
Other names
Eastern Shore Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN WESLEY GIFFORD RPH (OWNER/PHARMACIST)
(205) 529-6654
Entity
Organization

Contact information

Practice address
20489 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4369
(251) 928-9073
(251) 928-9075
Mailing address
20489 STATE HWY 181, FAIRHOPE, AL 36532
(251) 928-9073
(251) 928-9075

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114739
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209787
—
AL
Enumeration date
08/25/2017
Last updated
10/20/2021
About Stedi
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