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LAKESIDE PHARMACY LLC

Medical Equipment Supplier Yellow Pages

Montgomery, Texas

Provider NPI: 1013239417

Organization Information:
Organization Name:  LAKESIDE PHARMACY LLC


Practice Location:
16955 WALDEN RD STE 100  MONTGOMERY, TX 77356 US
Tel: 936-448-6337  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
TX26843

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER455518601
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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