Organization
LABOTTS LAKEVIEW PHARMACY INC
Active
Other names
Labotts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HAROLD LABOTT R.PH. (PRESIDENT)
(414) 257-0077
Entity
Organization
Contact information
Practice address
10424 W BLUEMOUND RD, WAUWATOSA, WI 53226-4331
(414) 257-0077
(414) 258-9737
Mailing address
10424 W BLUEMOUND RD, WAUWATOSA, WI 53226-4331
(414) 257-0077
(414) 258-9737
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
8305042
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33137700
—
WI
Enumeration date
02/12/2007
Last updated
08/22/2020
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