Organization
LAKEVICK LLC
Active
Other names
Vickery Vaccine Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H VICKERY R. PH. (OWNER/PHARMACIST)
(215) 348-9711
Entity
Organization
Contact information
Practice address
1980 S EASTON RD, DOYLESTOWN, PA 18901-7103
(267) 640-6733
(267) 483-8795
Mailing address
50 KULP RD E, CHALFONT, PA 18914-3729
(267) 640-6733
(267) 483-8795
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPI000001
PA
261Q00000X
Clinic/Center
Primary
OS007466L
PA
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
OS007466L
PA
Other
Enumeration date
03/31/2017
Last updated
11/20/2024
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