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Organization
LITTLE LAKE PHARMACY INC
Active
Organization
LITTLE LAKE PHARMACY INC
Active
Other names
Willits Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID H LOVITT RPH (PRESIDENT)
(707) 459-6877
Entity
Organization
Contact information
Practice address
90 S MAIN ST, WILLITS, CA 95490-3526
(707) 459-6877
(707) 459-3299
Mailing address
90 S MAIN ST, WILLITS, CA 95490-3526
(707) 459-6877
(707) 459-3299
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY34314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA208900
—
CA
Enumeration date
12/24/2005
Last updated
03/07/2023
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