| NPI | 1477850931 |
|---|---|
| Doing Business As | LAKESIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHERYL CATTANEO Pharmacist In Charge/Manager 406-844-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MT 1326) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-03-17 |