Organization
LAKEVIEW PHARMACY IN RACINE SC
Active
Parent organization
LAKEVIEW PHARMACY IN RACINE SC
Other names
Lakeview Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW PHARMACY IN RACINE SC
Authorized official
MEGAN RENEE HAAPANEN PHARM D (PHARMACY OWNER)
(262) 632-0520
Entity
Organization
Contact information
Practice address
516 MONUMENT SQ, RACINE, WI 53403-1033
(262) 632-0520
(262) 632-6777
Mailing address
516 MONUMENT SQ, RACINE, WI 53403-1033
(262) 632-0520
(262) 632-6777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189504
—
WI
Enumeration date
10/06/2021
Last updated
01/18/2022
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