Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LAKE SHORE DRUGS LLC
Active
Organization
LAKE SHORE DRUGS LLC
Active
Other names
Mike's Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
SHALENDRA CHERUKURI (MEMBER)
(410) 255-0099
Entity
Organization
Contact information
Practice address
3820 MOUNTAIN RD UNIT G, PASADENA, MD 21122-2027
(410) 255-0099
(410) 255-0799
Mailing address
3820 MOUNTAIN RD UNIT G, PASADENA, MD 21122-2027
(410) 255-0099
(410) 255-0799
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
P07151
MD
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159782
PK
—
Enumeration date
03/10/2016
Last updated
03/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers