Lakeside Pharmacy
LBN: Lakeside Pharmacy Llc
Lakeside Pharmacy is an health care organization with primary practice located at 16955 Walden Rd Ste 100 , Montgomery TX 77356-3227. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lakeside Pharmacy Llc can be contacted via phone (936) 448-6337, or through Prezioso, Kim via phone (936) 827-3766.
Contact Information
Primary practice address
16955 Walden Rd Ste 100
Montgomery TX 77356-3227
Phone: (936) 448-6337
Fax: (936) 448-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 26843 | Texas |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1013239417 |
|---|---|
| LBN Legal business name | Lakeside Pharmacy Llc |
| DBA Doing business as | Lakeside Pharmacy |
| Authorized official | Prezioso, Kim |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2010 |
| Last updated | Apr 7th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013239417 | NPPES |
| Other | 4555186 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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