Lakeside Pharmacy LLC
NPI #1013239417 in Montgomery, Texas
Provider Information
- NPI Number
- 1013239417
- Entity Type
- Organization
- Organization Name
- Lakeside Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 26, 2010
- Last Updated
- Apr 7, 2010
Practice Location
- Address
- 16955 WALDEN RD STE 100
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77356-3227
- Phone
- (936) 448-6337
Authorized Official
- Name
- KIM PREZIOSO
- Title
- PRESIDENT/PHARM-IN-CHARGE
- Phone
- (936) 827-3766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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