Organization
LAKE CARMEL LLC
Active
Other names
LAKE CARMEL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LOKESWARA R KALAKOTI (MANAGER)
(845) 225-4242
Entity
Organization
Contact information
Practice address
511 ROUTE 52, CARMEL, NY 10512-6064
(845) 225-4242
(845) 225-9349
Mailing address
511 ROUTE 52, CARMEL, NY 10512-6064
(845) 225-4242
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041287
PHARMACY LICENSE
NY
Enumeration date
04/21/2025
Last updated
05/07/2025
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