Lakeside Pharmacy, Inc.

NPI 1043321896 - Pharmacy - 3336C0003X

NPI Details
NPI 1043321896
Enumeration Date 08/31/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EARL WILLARD EARL
Position PRESIDENT/TREASURER
Phone (802) 862-1491
Fax
Practice Location
242 PEARL ST
BURLINGTON VT, 05401-8532, US
Phone (802) 862-1491
Fax
Business Location
242 PEARL ST
BURLINGTON VT, 05401-8532, US
Phone (802) 862-1491
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Vermont
License Number 038-0001997
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According to our database, Lakeside Pharmacy, Inc. NPI is 1043321896, taxonomy code is 3336C0003X and license number is 038-0001997, license state is located at Vermont. Lakeside Pharmacy, Inc. physically located at 242 Pearl St, Burlington VT, 05401-8532. NPI Number 1033115704 has the healthcare provider type.

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1043321896 NPI number is provided on an as is basis without warranty of any kind. 1043321896 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Pharmacy, Inc. are for informational purposes only.