Organization
LOWES PHARMACY LLC
Active
Other names
Lowe's Pharmacy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT FULLER (R.PH.)
(334) 864-9868
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
05
—
125291
—
AL
01
—
2128363
PK
—
Enumeration date
11/18/2010
Last updated
01/20/2017
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