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Organization

LOWES PHARMACY INC

Active
Other names
LOWES PHARMACY INC
Organization subpart
No

Provider details

NPI number
Authorized official
WALTER LOWE R.PH (OWNER PIC)
(334) 864-7781
Entity
Organization

Contact information

Practice address
339 9TH AVE SW, LAFAYETTE, AL 36862-2803
(334) 864-7781
(334) 864-0096
Mailing address
339 9TH AVE SW, LAFAYETTE, AL 36862-2803
(334) 864-7781
(334) 864-0096

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
106275
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110748
NCPDP PROVIDER IDENTIFICATION NUMBER
05
100001245
AL
Enumeration date
01/23/2007
Last updated
08/05/2010
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