| NPI | 1457414138 |
|---|---|
| Other Name | LAKELAND VILLAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARMEN JOY BERG Clinical Pharmacist Supervisor 509-299-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WA PHAR.CF.00000468) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-03-07 |