Lakeview Outpatient Pharmacy
LBN: Lakeview Memorial Hospital Association Inc
Lakeview Outpatient Pharmacy is an health care organization with primary practice located at 927 Churchill St W , Stillwater MN 55082-6605. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Lakeview Memorial Hospital Association Inc can be contacted via phone (651) 430-4563, or through Johnson, Douglas Edward via phone (651) 430-4581.
Contact Information
Primary practice address
927 Churchill St W
Stillwater MN 55082-6605
Phone: (651) 430-4563
Fax: (651) 430-4630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 261233 | Minnesota |
| Suppliers / Pharmacy | 333600000X | 2612331 | Minnesota |
Profile Details
| NPI number | 1326124454 |
|---|---|
| LBN Legal business name | Lakeview Memorial Hospital Association Inc |
| DBA Doing business as | Lakeview Outpatient Pharmacy |
| Authorized official | Johnson, Douglas Edward |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Feb 3rd, 2017 - about 9 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 | 1326124454 | NPPES |
| Minnesota | Other | 242458-1 | NABP NUMBER |
| Minnesota | MEDICAID | 33218600 | NABP NUMBER |
| Minnesota | MEDICAID | 194023600 | NABP NUMBER |
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