Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eastside Pharmacy and Custom Compounding, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1881884161

Eastside Pharmacy and Custom Compounding, Inc is a Durable Medical Equipment & Medical Supplies in Athens, Alabama. Licensed in Alabama. Registered with an NPI since 2007.

Licensed in
AL
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1406 Lindsay Ln S Ste A
Athens, AL 35613
Phone: (256) 233-7070
Fax: (256) 233-8891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 112977 (AL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1881884161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monique Cannon — President · (256) 233-7070
NPI enumeratedAugust 1, 2007
Last updated in NPPESMarch 23, 2021
Certification dateMarch 2, 2021
Mailing address1406 Lindsay Lane South, Suite A, Athens, AL 35613

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