Organization
LAKE VILLAGE DRUGSTORE, INC.
Active
Organization
LAKE VILLAGE DRUGSTORE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMILA LEA CROUSE PHARM. D. (PHARMACY MANAGER/PHARMACIST IN CHAR)
(870) 265-5555
Entity
Organization
Contact information
Practice address
2907 HWY 65-82 SOUTH, LAKE VILLAGE, AR 71653
(870) 265-5555
(870) 265-3174
Mailing address
PO BOX 548, LAKE VILLAGE, AR 71653-0548
(870) 265-5555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0403890
AR
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100517407
—
AR
Enumeration date
02/22/2007
Last updated
09/16/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up