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Organization
WEST LAKE PHARMACY INC
Active
Organization
WEST LAKE PHARMACY INC
Active
Other names
West Lake Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH PATEL RPH (OWNER, PRESIDENT)
(732) 841-5085
Entity
Organization
Contact information
Practice address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
(732) 455-5885
(732) 455-5882
Mailing address
1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
(732) 455-5885
(732) 455-5882
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00730200
NJ
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
02/02/2012
Last updated
08/12/2014
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