| NPI Details | |
|---|---|
| NPI | 1013066463 |
| Enumeration Date | 01/08/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | DAVID DAVID |
| Position | PRESIDENT |
| Phone | (218) 587-3222 |
| Fax | (218) 587-3338 |
| Practice Location | |
|---|---|
| 417 BARCLAY AVE PINE RIVER MN, 56474-5139, US |
|
| Phone | (218) 587-3222 |
| Fax | (218) 587-3338 |
| Business Location | |
|---|---|
| PO BOX 488 PINE RIVER MN, 56474-0488, US |
|
| Phone | (218) 587-3222 |
| Fax | (218) 587-3338 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 333600000X |
| License State | Minnesota |
| License Number | 261106 |
| Remove 1013066463 NPI Number | |
According to our database, Lakes Area Pharmacy NPI is 1013066463, taxonomy code is 333600000X and license number is 261106, license state is located at Minnesota. Lakes Area Pharmacy physically located at 417 Barclay Ave, Pine River MN, 56474-5139. NPI Number 1033115704 has the healthcare provider type.
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1013066463 NPI number is provided on an as is basis without warranty of any kind. 1013066463 is maintained by the National Plan & Provider Enumeration System. The contents of Lakes Area Pharmacy are for informational purposes only.
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