Provider Demographics
NPI:1407373020
Name:OSBORN, LILLIAN MCBRIDE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LILLIAN
Middle Name:MCBRIDE
Last Name:OSBORN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 LEE ROAD 8
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36832-8358
Mailing Address - Country:US
Mailing Address - Phone:662-424-3433
Mailing Address - Fax:
Practice Address - Street 1:806 LEE ROAD 8
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36832-8358
Practice Address - Country:US
Practice Address - Phone:662-424-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL159111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL15911OtherALABAMA STATE BOARD OF PHARMACY