NPI | 1477224244 |
---|---|
Doing Business As | LAKEVIEW LTC PHARMACY |
Entity Type | Organization |
Authorized Contact | MEGAN RENEE HAAPANEN Pharmacy Owner 262-632-8215 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2021-09-22 |
Last Update Date | 2022-01-25 |