Organization
LAKEPOINTE PHARMACY INC
Active
Other names
Lakepointe Pharmacy #1
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONGTRINH LAM (PRESIDENT)
(972) 722-4339
Entity
Organization
Contact information
Practice address
1005 W RALPH HALL PKWY, STE 147, ROCKWALL, TX 75032-6658
(972) 722-4339
(888) 737-4524
Mailing address
1005 W RALPH HALL PKWY, STE 147, ROCKWALL, TX 75032-6658
(972) 722-4339
(888) 737-4524
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
26193
TX
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145951
—
TX
01
—
2170617
PK
—
Enumeration date
08/16/2017
Last updated
05/15/2018
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