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Lake Side Pharmacy

Community/Retail Pharmacy in Cedar Bluff, AL · enumerated 2012 · authorized official Stephen Wilson, Pharmacist in Charge.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093078768

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Registry record

Entity type Organization (Type 2)
Legal business name Lake Side Pharmacy
Other name <Unavail>
Practice address 10005 Al Highway 9 N, Cedar Bluff, AL, 35959
Phone (844) 236-5360
Fax (866) 609-4582
Enumeration date Jun 19, 2012
Last updated in NPPES Jan 3, 2017

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 113926 (AL) Primary

Authorized official

Name Stephen Wilson
Title Pharmacist in Charge
Phone (844) 236-5360

Other identifiers

Identifier Type State Issuer
113926 Other AL ALABAMA PHARMACY LICENSE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lake Side Pharmacy?
The NPI for Lake Side Pharmacy is 1093078768, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lake Side Pharmacy?
NPPES lists Stephen Wilson (Pharmacist in Charge) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-03.