Organization
LAKE HEALTH SERVICES, INC.
Active
Parent organization
LAKE HEALTH SERVICES, INC.
Other names
Lake Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE HEALTH SERVICES, INC.
Authorized official
TIM NGUYEN PHARMD (PRESIDENT)
(707) 994-3141
Entity
Organization
Contact information
Practice address
15230 LAKESHORE DR, CLEARLAKE, CA 95422-8107
(707) 994-3141
(707) 994-7150
Mailing address
PO BOX 7150, CLEARLAKE, CA 95422-7150
(707) 994-3141
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
02/04/2024
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