Lake Park Pharmacy LLC

NPI #1508964537 in Lake Park, Georgia

Provider Information

NPI Number
1508964537
Entity Type
Organization
Organization Name
Lake Park Pharmacy LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Sep 21, 2006
Last Updated
Jun 10, 2015

Practice Location

Address
453 LAKES BLVD
State
Georgia
ZIP Code
31636-6607
Phone
(229) 559-9394

Authorized Official

Name
HUGH CHANCY, RPH
Title
OWNER
Phone
(229) 794-3525

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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