Lake Holiday Drugs INC

NPI #1942221262 in Demotte, Indiana

Provider Information

NPI Number: 1942221262
Entity Type: Organization
Organization Name: Lake Holiday Drugs INC
Primary Specialty: Pharmacy
Enumeration Date: Jul 21, 2006
Last Updated: Apr 4, 2018

Practice Location

Address: 10064 N 600 E
City: Demotte
State: Indiana
ZIP Code: 46310-8536
Phone: (219) 345-2200

Authorized Official

Name: CONNIE COFFER
Title: 3RD PARTY COORD
Phone: (219) 987-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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