| NPI | 1265865372 |
|---|---|
| Doing Business As | LAKEWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVAS SANIKOMMU Member 586-359-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301010150) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2024-06-08 |