| NPI | 1477742666 |
|---|---|
| Doing Business As | EAST LAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUDY SMITH Owner 214-327-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 06381) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-11-19 |