| NPI | 1801185574 |
|---|---|
| Doing Business As | LAKESIDE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID E LECHAK President 501-262-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AR AR20646) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2020-03-04 |