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

Lake Side Pharmacy

Organization Community/Retail Pharmacy · NPI 1093078768

Lake Side Pharmacy is a Community/Retail Pharmacy in Cedar Bluff, Alabama. Licensed in Alabama. Registered with an NPI since 2012.

Licensed in
AL
In the registry since
2012

Practice location Address checks out

10005 Al Highway 9 N
Cedar Bluff, AL 35959-2231
Phone: (844) 236-5360
Fax: (866) 609-4582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 113926 (AL)

Record details

NPI number1093078768
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Wilson — Pharmacist In Charge · (844) 236-5360
Other names Total Life Care Compounding
NPI enumeratedJune 19, 2012
Last updated in NPPESJanuary 3, 2017
Mailing address10005 Al Highway 9 N, Cedar Bluff, AL 35959-2231