Lake Park Pharmacy, LLC

NPI #1528245883 in Lake Park, Georgia

Provider Information

NPI Number
1528245883
Entity Type
Organization
Organization Name
Lake Park Pharmacy, LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 29, 2008
Last Updated
Jan 29, 2008

Practice Location

Address
1016 LAKES BLVD
State
Georgia
ZIP Code
31636-3013
Phone
(229) 559-9394

Authorized Official

Name
DR. WENDY A DORMINEY, PHARMD
Title
PHARMACY MANAGER
Phone
(229) 559-9398

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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