Organization
EAST LAKE PHARMACY
Active
Other names
EAST LAKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUDY SMITH (OWNER)
(214) 327-7334
Entity
Organization
Contact information
Practice address
10611 GARLAND RD, STE 104, DALLAS, TX 75218-2666
(214) 327-7334
(214) 327-7335
Mailing address
10611 GARLAND RD, STE 104, DALLAS, TX 75218-2666
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
06381
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4544640
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/24/2007
Last updated
11/19/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us