Organization
DADEVILLE PHARMACY LLC
Active
Other names
Lakeshore Discount Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE A DALTON (OWNER)
(256) 825-0063
Entity
Organization
Contact information
Practice address
221 E SOUTH ST, DADEVILLE, AL 36853-1923
(256) 825-0063
(256) 825-5584
Mailing address
221 E SOUTH ST, DADEVILLE, AL 36853-1923
(256) 825-0063
(256) 825-5584
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226751
—
AL
Enumeration date
03/13/2024
Last updated
03/13/2024
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