Organization
LAKE SHORE DRUGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA PRASAD KAMMA (PHARMACIST)
(410) 255-0099
Entity
Organization
Contact information
Practice address
3820 MOUNTAIN RD STE G, PASADENA, MD 21122-2027
(410) 255-0099
Mailing address
3820 MOUNTAIN RD STE G, PASADENA, MD 21122-2027
(410) 255-0099
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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