Organization
LEESBURG PHARMACY, INC. DBA LOOKOUT MOUNTAIN PHARMACY
Active
Parent organization
LEESBURG PHARMACY, INC.
Other names
Lookout Mountain Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEESBURG PHARMACY, INC.
Authorized official
MR. CHRIS N ST.CLAIR R.PH. (PRESIDENT)
(256) 526-6337
Entity
Organization
Contact information
Practice address
1955 SAND ROCK AVE, SANDROCK, AL 35983-4327
(256) 523-5665
(256) 523-5669
Mailing address
PO BOX 358, LEESBURG, AL 35983-0358
(256) 526-6337
(256) 526-6342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113381
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113381
STATE OF ALABAMA BOARD OF PHARMACY LICENSE #
AL
Enumeration date
04/05/2010
Last updated
03/07/2023
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