Organization
LAKESIDE PHARMACY LLC
Active
Other names
Lakeside Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM HARRIGAN PREZIOSO BSN, PHARMD (OWNER/PIC)
(936) 448-6337
Entity
Organization
Contact information
Practice address
16955 WALDEN RD STE 100, MONTGOMERY, TX 77356-3227
(936) 448-6337
(936) 448-6338
Mailing address
16955 WALDEN RD STE 100, MONTGOMERY, TX 77356-3227
(936) 448-6337
(936) 448-6338
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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