Healthcare Provider Details

I. General information

NPI: 1407373020
Provider Name (Legal Business Name): LILLIAN MCBRIDE OSBORN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 LEE ROAD 8
AUBURN AL
36832-8358
US

IV. Provider business mailing address

806 LEE ROAD 8
AUBURN AL
36832-8358
US

V. Phone/Fax

Practice location:
  • Phone: 662-424-3433
  • Fax:
Mailing address:
  • Phone: 662-424-3433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number15911
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: