Organization
EASTERN SHORE PHARMACY, LLC
Active
Other names
Eastern Shore Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN WESLEY GIFFORD RPH (OWNER/PHARMACIST)
(205) 529-6654
Entity
Organization
Contact information
Practice address
20489 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4369
(251) 928-9073
(251) 928-9075
Mailing address
20489 STATE HWY 181, FAIRHOPE, AL 36532
(251) 928-9073
(251) 928-9075
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
114739
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209787
—
AL
Enumeration date
08/25/2017
Last updated
10/20/2021
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