1013239417 LAKESIDE PHARMACY LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
LAKESIDE PHARMACY LLC
Enumeration Date
February 26, 2010
Last Update
April 7, 2010
Authorized Official
KIM PREZIOSO
PRESIDENT/PHARM-IN-CHARGE
Phone: (936) 827-3766

Practice Location

Address
16955 WALDEN RD STE 100
MONTGOMERY, TX 773563227
Phone
(936) 448-6337
Fax
(936) 448-6338

Mailing Address

Address
16955 WALDEN RD
SUITE 100
MONTGOMERY, TX 773563220
Phone
(936) 448-6337
Fax
(936) 448-6338

Specialties & Taxonomies

Specialty Code Classification License State Primary
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy N/A N/A No
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Pharmacy
333600000X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 26843 TX Primary

Other Identifiers

Identifier Type State Issuer
4555186 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER

Frequently Asked Questions

What is LAKESIDE PHARMACY LLC's NPI number?
LAKESIDE PHARMACY LLC's NPI number is 1013239417.
Which doctor has NPI number 1013239417?
The doctor with NPI number 1013239417 is LAKESIDE PHARMACY LLC.
What is LAKESIDE PHARMACY LLC's practice address?
LAKESIDE PHARMACY LLC's practice address is 16955 WALDEN RD STE 100, MONTGOMERY, TX, 773563227.
Which doctor practices at 16955 WALDEN RD STE 100, MONTGOMERY, TX, 773563227?
LAKESIDE PHARMACY LLC practices at 16955 WALDEN RD STE 100, MONTGOMERY, TX, 773563227.
What is LAKESIDE PHARMACY LLC's mailing address?
LAKESIDE PHARMACY LLC's mailing address is 16955 WALDEN RD, SUITE 100, MONTGOMERY, TX, 773563220.
What is LAKESIDE PHARMACY LLC's phone number?
LAKESIDE PHARMACY LLC's phone number is (936) 448-6337.
Who is (936) 448-6337?
(936) 448-6337 is the phone number for LAKESIDE PHARMACY LLC.
What is LAKESIDE PHARMACY LLC's specialty?
LAKESIDE PHARMACY LLC's specialty is Community/Retail Pharmacy.
What type of doctor is LAKESIDE PHARMACY LLC?
LAKESIDE PHARMACY LLC is a Community/Retail Pharmacy.
Is LAKESIDE PHARMACY LLC a Community/Retail Pharmacy?
Yes, LAKESIDE PHARMACY LLC is a Community/Retail Pharmacy.
Is LAKESIDE PHARMACY LLC still practicing?
Yes, LAKESIDE PHARMACY LLC is currently practicing.
Is LAKESIDE PHARMACY LLC accepting new patients?
LAKESIDE PHARMACY LLC may be accepting new patients. Please call their office at (936) 448-6337 to inquire about availability.
Is NPI 1013239417 still active?
Yes, NPI 1013239417 is currently active.
Where does LAKESIDE PHARMACY LLC practice?
LAKESIDE PHARMACY LLC practices in MONTGOMERY, TX.