| NPI | 1962477737 |
|---|---|
| Doing Business As | LAKESHORE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OLEG ORDINARTSEV Manager 425-803-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WA CF58547) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-08-22 |