| NPI | 1689750713 |
|---|---|
| Doing Business As | LAKEVIEW HOMECARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD JOHNSON CFO 651-430-4581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: MN 261233-1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2011-09-13 |