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.
Organization
LAKESIDE PHARMACY OF ALABAMA INC
Active
Organization
LAKESIDE PHARMACY OF ALABAMA INC
Active
Other names
Lakeside Pharmacy of Alabama, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
WILL JACKS (OWNER/MANAGING PHARMACIST)
(256) 357-2315
Entity
Organization
Contact information
Practice address
17054 HIGHWAY 431, WEDOWEE, AL 36278-4572
(256) 357-2315
(256) 357-2319
Mailing address
PO BOX 10, WEDOWEE, AL 36278-0010
(256) 357-2315
(256) 357-2319
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113866
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137679
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/19/2012
Last updated
04/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers