# WEST LAKE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Lake Pharmacy Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598037863
- **Authorized official:** KAMLESH PATEL RPH (OWNER, PRESIDENT)
- **Authorized official phone:** (732) 841-5085

## Contact information

- **Practice address:** 1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
- **Practice address phone:** (732) 455-5885
- **Practice address fax:** (732) 455-5882
- **Mailing address:** 1828 W LAKE AVE, NEPTUNE, NJ 07753-4663
- **Mailing address phone:** (732) 455-5885
- **Mailing address fax:** (732) 455-5882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00730200 | NJ | Yes |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 08/12/2014