| NPI | 1427203967 |
|---|---|
| Doing Business As | LAKESHORE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | EDWARD VAHALEK Director Of Pharmacy 313-483-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MI 5301008983) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2015-11-09 |