Lake Country Pharmacy
NPI #1184612749 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1184612749
- Entity Type
- Organization
- Organization Name
- Lake Country Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 7, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 791 SUMMIT AVE
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-3844
- Phone
- (262) 569-0284
Authorized Official
- Name
- MS. MARY JO HOUSTON, RPH
- Title
- PHARMACIST
- Phone
- (262) 569-0284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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