Organization
LAKESHORE MEDIC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAURICE L GOLD PHARMACIST RPH (OWNER)
(337) 436-4388
Entity
Organization
Contact information
Practice address
2001 ENTERPRISE BLVD, LAKE CHARLES, LA 70601
(337) 436-4388
(337) 436-4389
Mailing address
2001 ENTERPRISE BLVD, LAKE CHARLES, LA 70601
(337) 436-4388
(337) 436-4389
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2006
Last updated
12/12/2008
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