# LILLIAN PHARMACY INC

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

## Provider details

- **NPI number:** 1992760623
- **Authorized official:** MINDY KREHLING NOBLES (DELEGATED OFFICIAL)
- **Authorized official phone:** (251) 962-3777

## Contact information

- **Practice address:** 34023 US HIGHWAY 98, LILLIAN, AL 36549-4053
- **Practice address phone:** (251) 962-3777
- **Practice address fax:** (251) 962-3779
- **Mailing address:** PO BOX 59, LILLIAN, AL 36549-0059
- **Mailing address phone:** (251) 962-3777
- **Mailing address fax:** (251) 962-3779

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 02/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100115465 | — | AL |
| 01 | — | 2123099 | PK | — |