Lake Pharmacy LLC
NPI #1437209616 in Deatsville, Alabama
Provider Information
- NPI Number
- 1437209616
- Entity Type
- Organization
- Organization Name
- Lake Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Feb 28, 2017
Practice Location
- Address
- 95 LIGHTWOOD RD
- Address 2
- MAIN ST SLAPOUT
- City
- Deatsville
- State
- Alabama
- ZIP Code
- 36022-3494
- Phone
- (334) 569-2112
Authorized Official
- Name
- ROBERT GOLDEN
- Title
- OWNER
- Phone
- (334) 569-2112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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