Organization
LAKE JUNE PHARMACY LLC
Active
Other names
LAKE JUNE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ISSIFU TENII (MANAGER)
(614) 599-5576
Entity
Organization
Contact information
Practice address
11203 LAKE JUNE RD STE 106, BALCH SPRINGS, TX 75180-1219
(614) 599-5576
Mailing address
11203 LAKE JUNE RD STE 106, BALCH SPRINGS, TX 75180-1219
(614) 599-5576
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
04/11/2024
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