| NPI | 1912375601 |
|---|---|
| Doing Business As | LAKE HEALTH PHARMACY - WEST |
| Entity Type | Organization |
| Authorized Contact | CARL OBENDORF Director 440-375-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OH 022537500) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |