Lakeside Pharmacy
NPI #1063527018 in Lake Elsinore, California
Provider Information
- NPI Number
- 1063527018
- Entity Type
- Organization
- Organization Name
- Lakeside Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Jul 8, 2008
Practice Location
- Address
- 31681 RIVERSIDE DR
- Address 2
- STE D
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-7815
- Phone
- (951) 245-7699
Authorized Official
- Name
- SHARON HUTTON
- Title
- OWNER
- Phone
- (951) 245-7699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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