Organization
VOSMEK DRUG STORE INC
Active
Other names
Lakeside Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WILLIAM FREY RPH (PRESIDENT)
(715) 623-2631
Entity
Organization
Contact information
Practice address
536 5TH AVE, ANTIGO, WI 54409-2221
(715) 623-2631
(715) 623-6887
Mailing address
536 5TH AVE, ANTIGO, WI 54409-2221
(715) 623-2631
(715) 623-6887
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
11/14/2023
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