# LAKEWOOD HEALTH CARE CNTR PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKEWOOD HEALTH CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992716542
- **Legal business name:** LAKEWOOD HEALTH CARE CENTER
- **Authorized official:** MARK LUDWIG (DIR)
- **Authorized official phone:** (716) 631-3381

## Contact information

- **Practice address:** 5775 MAELOU DR, HAMBURG, NY 14075-7419
- **Practice address phone:** (716) 648-2820
- **Practice address fax:** (716) 631-8732
- **Mailing address:** 1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 025091 | NY | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3323590 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |