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Organization

LAKE MARTIN PHARMACY

Active
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Organization

LAKE MARTIN PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE RANDAL MCDONALD PHARM D (PHARMACY MANAGER/OWNER)
(256) 825-7822
Entity
Organization

Contact information

Practice address
301 MARIARDEN RD, SUITE A, DADEVILLE, AL 36853-6254
(256) 825-7822
(256) 827-0802
Mailing address
301 MARIARDEN RD, SUITE A, DADEVILLE, AL 36853-6254
(256) 825-7822
(256) 827-0802

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112856
AL

Other

Enumeration date
09/15/2006
Last updated
02/22/2008
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