Lakeside Pharmacy, LLC

NPI #1437281847 in Cumming, Georgia

Provider Information

NPI Number
1437281847
Entity Type
Organization
Organization Name
Lakeside Pharmacy, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Mar 12, 2007
Last Updated
May 7, 2025

Practice Location

Address
1505 NORTHSIDE BLVD STE 1600
State
Georgia
ZIP Code
30041-7660
Phone
(770) 205-0290

Authorized Official

Name
DR. APOLLON ANTHONY CONSTANTINIDES JR., PHARM D
Title
PRESIDENT
Phone
(770) 205-0290

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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