Lims Shasta Lake Pharmacy INC
NPI #1154512226 in Shasta Lake, California
Provider Information
- NPI Number
- 1154512226
- Entity Type
- Organization
- Organization Name
- Lims Shasta Lake Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 5, 2007
- Last Updated
- Jul 1, 2009
Practice Location
- Address
- 4215 FRONT ST
- Address 2
- STE 31
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9430
- Phone
- (530) 275-2100
Authorized Official
- Name
- RONALD LIM, PHRMD
- Title
- PRESIDENT
- Phone
- (530) 941-1179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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