| NPI | 1417454703 |
|---|---|
| Doing Business As | LAKE SHORE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD ADEEL Owner 862-701-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28rs00761500) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-01-11 |