NPI | 1730531286 |
---|---|
Doing Business As | LAKEVIEW PHARMACY |
Entity Type | Organization |
Authorized Contact | MUSTAFA FARAJ Pharmacist In Charge / Owner 973-510-0250 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2016-07-08 |
Last Update Date | 2018-12-15 |