NPI | 1497078364 |
---|---|
Doing Business As | LAKEVIEW SPECIALTY PHARMACY INC |
Entity Type | Organization |
Authorized Contact | ROBERT HARB VP 248-454-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MI 5301009304) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-04-29 |