| NPI | 1205811015 |
|---|---|
| Doing Business As | LSA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DAVID BEAM Phcst Mgr 704-642-0952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NC 06111) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2017-03-27 |