Organization
LAKE MARTIN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE RANDAL MCDONALD PHARM D (PHARMACY MANAGER/OWNER)
(256) 825-7822
Entity
Organization
Contact information
Practice address
301 MARIARDEN RD, SUITE A, DADEVILLE, AL 36853-6254
(256) 825-7822
(256) 827-0802
Mailing address
301 MARIARDEN RD, SUITE A, DADEVILLE, AL 36853-6254
(256) 825-7822
(256) 827-0802
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
112856
AL
Other
Enumeration date
09/15/2006
Last updated
02/22/2008
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