| NPI | 1083080162 |
|---|---|
| Doing Business As | LAKESIDE PHARMACY SOUTH |
| Entity Type | Organization |
| Authorized Contact | YVONNE COMPEAN Pharmacy Manager 956-724-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 30892) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-07-19 |