| NPI | 1407603236 |
|---|---|
| Doing Business As | NORTH LAKE MEDICAL PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | KYLA NEELEY Owner 707-263-6192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |