| NPI | 1275682007 |
|---|---|
| Doing Business As | LAKES AREA PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | DAVID PARRY Owner 218-568-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MN 2605377) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-03-10 |