# LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
- **Other names:** Lake Health Pharmacy - TriPoint
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366844284
- **Legal business name:** LAKE HOSPITAL SYSTEM, INC. DBA LAKE HEALTH
- **Authorized official:** MICHAEL KITTOE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (440) 354-1051

## Contact information

- **Practice address:** 7580 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9615
- **Practice address phone:** (440) 602-6320
- **Mailing address:** 7580 AUBURN RD, CONCORD TOWNSHIP, OH 44077-9615
- **Mailing address phone:** (440) 602-6320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 02445650 03 | OH | Yes |

## Other

- **Enumeration date:** 09/23/2014
- **Last updated:** 09/23/2014