Organization
LAKES AREA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARRY RPH (PRESIDENT)
(218) 587-3222
Entity
Organization
Contact information
Practice address
417 BARCLAY AVE, PINE RIVER, MN 56474-5139
(218) 587-3222
(218) 587-3338
Mailing address
PO BOX 488, PINE RIVER, MN 56474-0488
(218) 587-3222
(218) 587-3338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
261106
MN
3336L0003X
Long Term Care Pharmacy
261106
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2421268
NCPDP
MN
Enumeration date
01/08/2007
Last updated
03/14/2017
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