Organization
ACADIANA PHARMACEUTICAL MEDICAL LLC
Active
Other names
Lifehouse Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT REYBURN ROBERTS III RPH (DIRECTOR OF PHARMACY LLC MEMBER)
(251) 945-1540
Entity
Organization
Contact information
Practice address
22203 A HWY 59, ROBERTSDALE, AL 36567
(251) 945-1540
(251) 945-1542
Mailing address
22203 A HWY 59, ROBERTSDALE, AL 36567
(251) 945-1540
(251) 945-1542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
333600000X
Pharmacy
112604
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0132833
NCPDP
—
Enumeration date
10/03/2005
Last updated
09/11/2025
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