| NPI | 1093843351 |
|---|---|
| Doing Business As | LAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEYUR VEKARIA President 773-921-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054.018464) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-04-17 |