Provider Demographics
NPI:1144329186
Name:LUMPLAN, AMY COX (RPH)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:COX
Last Name:LUMPLAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 COXLANE
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007
Mailing Address - Country:US
Mailing Address - Phone:205-995-4960
Mailing Address - Fax:205-995-4965
Practice Address - Street 1:2563 VALLEY DALE RD
Practice Address - Street 2:WINN DIXIE PHARMACY
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35244
Practice Address - Country:US
Practice Address - Phone:205-995-4960
Practice Address - Fax:205-995-4965
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12917183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10002586Medicaid
AL10002586Medicaid