NPI | 1801309133 |
---|---|
Doing Business As | RXONE LAKE |
Entity Type | Organization |
Authorized Contact | JAMES CRAVEN EVP, Chief Physician Officer 225-765-8724 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy (Licence: LA 007547IR) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: LA 0075471IR) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2024-08-26 |