Organization
NEELEY, INC
Active
Other names
North Lake Medical Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
KYLA NEELEY (OWNER)
(707) 263-6192
Entity
Organization
Contact information
Practice address
5136 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-6192
Mailing address
5136 HILL RD E, LAKEPORT, CA 95453-6300
(707) 263-6192
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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