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Organization
LILLIAN PHARMACY INC
Active
Organization
LILLIAN PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY KREHLING NOBLES (DELEGATED OFFICIAL)
(251) 962-3777
Entity
Organization
Contact information
Practice address
34023 US HIGHWAY 98, LILLIAN, AL 36549-4053
(251) 962-3777
(251) 962-3779
Mailing address
PO BOX 59, LILLIAN, AL 36549-0059
(251) 962-3777
(251) 962-3779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100115465
—
AL
01
—
2123099
PK
—
Enumeration date
04/18/2006
Last updated
02/16/2018
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