Lake Pharmacy
NPI #1225252836 in Oakland, California
Provider Information
- NPI Number
- 1225252836
- Entity Type
- Organization
- Organization Name
- Lake Pharmacy
- Primary Specialty
- Pharmacist
- Enumeration Date
- Apr 13, 2007
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 287 13TH ST
- City
- Oakland
- State
- California
- ZIP Code
- 94612-3900
- Phone
- (510) 832-1804
Authorized Official
- Name
- DR. ARNOLD GEORGE FONG, PHARM. D.
- Title
- OWNER
- Phone
- (510) 832-1804
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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