Lakeside Family Pharmacy LLC

NPI #1215189311 in Cumming, Georgia

Provider Information

NPI Number
1215189311
Entity Type
Organization
Organization Name
Lakeside Family Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 21, 2008
Last Updated
Mar 15, 2011

Practice Location

Address
1505 NORTHSIDE BLVD
Address 2
STE 1600
State
Georgia
ZIP Code
30041-7623
Phone
(770) 781-1450

Authorized Official

Name
APOLLON CONSTANTINIDES, RPH
Title
OWNER
Phone
(770) 781-1450

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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