# LADAS PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619022928
- **Authorized official:** MR. HARRIET LOUIS LADAS (PHARMACIST)
- **Authorized official phone:** (251) 432-5601

## Contact information

- **Practice address:** 1050 S BROAD ST, MOBILE, AL 36603-1038
- **Practice address phone:** (251) 432-5601
- **Practice address fax:** (251) 441-0012
- **Mailing address:** 1050 S BROAD ST, MOBILE, AL 36603-1038
- **Mailing address phone:** (251) 432-5601
- **Mailing address fax:** (251) 441-0012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 105940 | AL | — |
| 3336C0003X | Community/Retail Pharmacy | 105940 | AL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 06/14/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100000306 | — | AL |
