Eastern Shore Pharmacy

LBN: Eastern Shore Pharmacy, Llc
Eastern Shore Pharmacy is an health care organization with primary practice located at 20489 State Highway 181 , Fairhope AL 36532-4369. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Eastern Shore Pharmacy, Llc can be contacted via phone (251) 928-9073, or through Gifford, Steven Wesley via phone (205) 529-6654.

Contact Information

Primary practice address
20489 State Highway 181 Fairhope AL 36532-4369
Fax: (251) 928-9075
Website:
Authorized official contact:
Name: Gifford, Steven Wesley RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 114739 Alabama

Profile Details

NPI number 1376060798
LBN Legal business name Eastern Shore Pharmacy, Llc
DBA Doing business as Eastern Shore Pharmacy
Authorized official Gifford, Steven Wesley RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2017
Last updated Oct 20th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376060798 NPPES
Alabama MEDICAID 209787

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