| NPI | 1790760585 |
|---|---|
| Doing Business As | FALKS LAKESIDE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN PRESTON Owner 218-525-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MN 2612739) |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-08-22 |