| NPI | 1295012466 |
|---|---|
| Doing Business As | LAKEVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL WIAFE President 863-458-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25646) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2015-09-28 |