MEDICARE: MS. AMY COX LUMPLAN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	12917	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144329186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY COX LUMPLAN RPH

Provider Business Mailing Address
First Line	:	278 COXLANE
Second Line	:
City	:	ALABASTER
State	:	AL
Zip	:	35007
Country	:	US
Telephone Number	:	205-995-4960
Fax Number	:	205-995-4965

Provider Business Practice Location Address
First Line	:	2563 VALLEY DALE RD
Second Line	:	WINN DIXIE PHARMACY
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244
Country	:	US
Telephone Number	:	205-995-4960
Fax Number	:	205-995-4965

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/08/2007

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