Lakeside Pharmacy

NPI 1063527018 - Pharmacy - 3336C0003X

NPI Details
NPI 1063527018
Enumeration Date 08/20/2006
Last Updated 07/08/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SHARON SHARON
Position OWNER
Phone (951) 245-7699
Fax (951) 245-7721
Practice Location
31681 RIVERSIDE DR
STE D
LAKE ELSINORE CA, 92530-7815, US
Phone (951) 245-7699
Fax (951) 245-7721
Business Location
31681 RIVERSIDE DR
STE D
LAKE ELSINORE CA, 92530-7815, US
Phone
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number PHY47386
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According to our database, Lakeside Pharmacy NPI is 1063527018, taxonomy code is 3336C0003X and license number is PHY47386, license state is located at California. Lakeside Pharmacy physically located at 31681 Riverside Dr, Lake Elsinore CA, 92530-7815. NPI Number 1033115704 has the healthcare provider type.

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1063527018 NPI number is provided on an as is basis without warranty of any kind. 1063527018 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Pharmacy are for informational purposes only.