Organization
LAKES AREA PHARMACY
Active
Other names
LAKES AREA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PARRY RPH (OWNER)
(218) 568-5884
Entity
Organization
Contact information
Practice address
30503 STATE HWY 371, PEQUOT LAKES, MN 56472-2913
(218) 568-5884
(218) 568-8473
Mailing address
PO BOX 187, PEQUOT LAKES, MN 56472-0187
(218) 568-5884
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2605377
MN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2046127
PK
—
05
—
854360700
—
MN
Enumeration date
01/10/2007
Last updated
03/10/2017
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