Organization
LINEVILLE CLINIC PHARMACY LLC
Active
Other names
LOWRY DRUGS AND GIFTS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LOWRY PHRM (OWNER)
(334) 863-6337
Entity
Organization
Contact information
Practice address
3705 HIGHWAY 431 STE B, ROANOKE, AL 36274-1430
(334) 863-6337
(334) 863-6339
Mailing address
PO BOX 248, ROANOKE, AL 36274-0248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
114138
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003783
—
AL
01
—
1988811
PK
—
Enumeration date
07/30/2006
Last updated
07/19/2013
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