| NPI | 1669549358 |
|---|---|
| Doing Business As | LAKELAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAUL L HUSHIN President 631-588-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 019188) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2008-02-22 |