| NPI | 1740847771 |
|---|---|
| Doing Business As | LAKE CHILDREN'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHUCK SPICER Market President 225-765-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-12-21 |