Laketown Pharmacy Pllc
NPI #1447611280 in Moses Lake, Washington
Provider Information
- NPI Number
- 1447611280
- Entity Type
- Organization
- Organization Name
- Laketown Pharmacy Pllc
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 7, 2016
- Last Updated
- Mar 1, 2022
Practice Location
- Address
- 1550 S PIONEER WAY STE 105
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-4637
- Phone
- (509) 765-8891
Authorized Official
- Name
- MR. MARK L DUVALL
- Title
- GOVERNOR/OWNER
- Phone
- (509) 765-8891
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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