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Organization

LAKEVIEW PHARMACY OF RACINE INC

Active
Other names
LAKEVIEW LTC PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
PETE CIARAMITA RPH (OWNER)
(262) 632-8215
Entity
Organization

Contact information

Practice address
517 WISCONSIN AVE, RACINE, WI 53403-1050
(262) 632-8215
(262) 632-6777
Mailing address
517 WISCONSIN AVE, RACINE, WI 53403-1050
(262) 632-8215
(262) 632-6777

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary
7186-42
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100032237
WI
01
2115320
PK
Enumeration date
06/08/2005
Last updated
08/17/2016
About Stedi
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