Organization
PBP, INC.
Active
Other names
Lillian Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STEPHEN LOVE RPH (PRESIDENT)
(251) 962-3777
Entity
Organization
Contact information
Practice address
12831 6TH ST, LILLIAN, AL 36549-4166
(251) 962-3777
(251) 962-3779
Mailing address
PO BOX 59, LILLIAN, AL 36549-0059
(251) 962-3777
(251) 962-3779
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112196
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002878
—
AL
Enumeration date
06/15/2010
Last updated
10/14/2010
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