| NPI | 1407290356 |
|---|---|
| Doing Business As | LAKE RIDGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DUNG NGUYEN Pharmacy Manager 972-522-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28607) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2016-11-03 |