East Lake Pharmacy Inc

NPI 1326151432 - Pharmacy - 3336C0003X

NPI Details
NPI 1326151432
Enumeration Date 08/16/2006
Last Updated 02/13/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD J RICHARD
Position OWNER
Phone (814) 456-4108
Fax (814) 456-4417
Practice Location
1896 E LAKE RD
ERIE PA, 16511-1072, US
Phone (814) 456-4108
Fax (814) 456-4417
Business Location
1896 E LAKE RD
ERIE PA, 16511-1072, US
Phone (814) 456-4108
Fax (814) 456-4417
Toxanomy
Taxonomy Code 3336C0003X
License State Pennsylvania
License Number PP481227
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According to our database, East Lake Pharmacy Inc NPI is 1326151432, taxonomy code is 3336C0003X and license number is PP481227, license state is located at Pennsylvania. East Lake Pharmacy Inc physically located at 1896 E Lake Rd, Erie PA, 16511-1072. NPI Number 1033115704 has the healthcare provider type.

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1326151432 NPI number is provided on an as is basis without warranty of any kind. 1326151432 is maintained by the National Plan & Provider Enumeration System. The contents of East Lake Pharmacy Inc are for informational purposes only.