| NPI | 1295811313 |
|---|---|
| Doing Business As | LAKEVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD JOHNSON CFO 651-430-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MN 200202-2) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-05-09 |