| NPI | 1750466967 |
|---|---|
| Doing Business As | LAKEVIEW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTHONY V FAZIO President 516-599-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 039982) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |