| NPI | 1538237334 |
|---|---|
| Doing Business As | LAKESIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIGNESH PATEL Owner Phcy Manager 586-214-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301008513) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-12-08 |