Lakeforest Pharmacy

LBN: Lake Forest Pharmacy
Lakeforest Pharmacy is an health care organization with primary practice located at 950 Corporate Pkwy Ste 104 , Wentzville MO 63385-4851. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lake Forest Pharmacy can be contacted via phone (636) 856-9555, or through Wegrzyn, Thomas via phone (636) 856-9555.

Contact Information

Primary practice address
950 Corporate Pkwy Ste 104 Wentzville MO 63385-4851
Phone: (636) 856-9555
Fax: (866) 548-7855
Website:
Map and Directions
Authorized official contact:
Name: Wegrzyn, Thomas
Phone: (636) 856-9555

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2017018401 Missouri

Profile Details

NPI number 1386174894
LBN Legal business name Lake Forest Pharmacy
DBA Doing business as Lakeforest Pharmacy
Authorized official Wegrzyn, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2017
Last updated Dec 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386174894 NPPES
Other 2169645 PK

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