Organization
LEE DRUG STORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA RAWLS BROWN B.S., MSC, AL PHARM (PRESIDENT/TREASURER - LEE DRUG STOR)
(251) 947-7378
Entity
Organization
Contact information
Practice address
18530 FLORIDA STREET, ROBERTSDALE, AL 36567
(251) 947-7378
(251) 947-7394
Mailing address
PO BOX 929, 18530 FLORIDA ST, ROBERTSDALE, AL 36567-0929
(251) 947-7378
(251) 947-7394
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
106040
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103008
NACDP
AL
05
—
100003552
—
AL
Enumeration date
07/18/2006
Last updated
06/29/2011
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