# LAKEVIEW PHARMACY IN RACINE SC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKEVIEW PHARMACY IN RACINE SC
- **Other names:** Lakeview LTC Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477224244
- **Legal business name:** LAKEVIEW PHARMACY IN RACINE SC
- **Authorized official:** MRS. MEGAN RENEE HAAPANEN PHARMD (PHARMACY OWNER)
- **Authorized official phone:** (262) 632-8215

## Contact information

- **Practice address:** 517 WISCONSIN AVE, RACINE, WI 53403-1050
- **Practice address phone:** (262) 632-8215
- **Practice address fax:** (262) 632-6777
- **Mailing address:** 517 WISCONSIN AVE, RACINE, WI 53403-1050
- **Mailing address phone:** (262) 632-8215
- **Mailing address fax:** (262) 632-6777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2021
- **Last updated:** 01/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100189877 | — | WI |