NPI | 1265499453 |
---|---|
Doing Business As | LAKEVIEW CENTER, INC. |
Entity Type | Organization |
Authorized Contact | JEFFERY FLETCHER Pharmacy Director 850-469-3719 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH6084) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-12-28 |