Organization
LAKESHORE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ERNEST BRYANT III (PRESIDENT)
(205) 945-8081
Entity
Organization
Contact information
Practice address
1 W LAKESHORE DR, SUITE 102, BIRMINGHAM, AL 35209-0500
(205) 945-8081
(205) 945-8508
Mailing address
1 W LAKESHORE DR, SUITE 102, BIRMINGHAM, AL 35209-0500
(205) 945-8081
(205) 945-8508
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112213
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125674
NABP
AL
Enumeration date
02/17/2007
Last updated
08/22/2020
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