| NPI | 1215189311 |
|---|---|
| Doing Business As | LAKESIDE FAMILY PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | APOLLON CONSTANTINIDES Owner 770-781-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009517) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2011-03-15 |