Organization
LAKEVIEW PHARMACY IN RACINE SC
Active
Parent organization
LAKEVIEW PHARMACY IN RACINE SC
Other names
Lakeview LTC Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW PHARMACY IN RACINE SC
Authorized official
MRS. MEGAN RENEE HAAPANEN PHARMD (PHARMACY OWNER)
(262) 632-8215
Entity
Organization
Contact information
Practice address
517 WISCONSIN AVE, RACINE, WI 53403-1050
(262) 632-8215
(262) 632-6777
Mailing address
517 WISCONSIN AVE, RACINE, WI 53403-1050
(262) 632-8215
(262) 632-6777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189877
—
WI
Enumeration date
09/22/2021
Last updated
01/25/2022
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