| NPI | 1154325199 |
|---|---|
| Doing Business As | LAKEVIEW PHARMACY OF RACINE INC |
| Entity Type | Organization |
| Authorized Contact | CHERYL A ROBOTKA Billing Manager 262-632-1830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WI 7185-42) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2019-08-23 |