Lakeside Pharmacy LLC
NPI #1780468884 in Montgomery, Texas
Provider Information
- NPI Number
- 1780468884
- Entity Type
- Organization
- Organization Name
- Lakeside Pharmacy LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 21, 2023
- Last Updated
- Aug 21, 2023
Practice Location
- Address
- 16955 WALDEN RD STE 100
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77356-3227
- Phone
- (936) 448-6337
Authorized Official
- Name
- KIM HARRIGAN PREZIOSO, BSN, PHARMD
- Title
- OWNER/PIC
- Phone
- (936) 448-6337
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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