| NPI | 1306107073 |
|---|---|
| Doing Business As | LAKESIDE PHARMACY SOUTH |
| Entity Type | Organization |
| Authorized Contact | TOM CONTRERAS Owner/Mgr/Phcy Tech 956-725-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 28345) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2015-10-29 |