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Organization

CASE RX PHARMACY, INC.

Active
Other names
Lakeside Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STANLEY JON LEONG PHARM.D. (CFO)
(916) 747-5094
Entity
Organization

Contact information

Practice address
9109 LAGUNA MAIN ST STE 125, ELK GROVE, CA 95758-7512
(916) 747-5094
Mailing address
9109 LAGUNA MAIN ST STE 125, ELK GROVE, CA 95758-7512

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
09/01/2021
Last updated
09/01/2021
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