| NPI | 1588180095 |
|---|---|
| Other Name | LAKEPOINTE PHARMACY #1 |
| Entity Type | Organization |
| Authorized Contact | PHUONGTRINH LAM President 972-722-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26193) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2018-05-15 |