| NPI | 1437214863 |
|---|---|
| Doing Business As | LAKEVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVE MISIR Owner 239-263-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH21120) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-08-29 |