Organization
LAKESIDE PHARMACY INC.
Active
Other names
Lakeside Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E LECHAK PD (PRESIDENT)
(501) 262-5400
Entity
Organization
Contact information
Practice address
998 SHADY GROVE RD UNIT 1-H, HOT SPRINGS, AR 71901-8094
(501) 262-5400
(501) 262-5404
Mailing address
998 SHADY GROVE RD STE 1H, HOT SPRINGS, AR 71901-8094
(501) 262-5400
(501) 262-5404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
AR20646
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186438407
—
AR
01
—
2129891
PK
—
Enumeration date
04/04/2011
Last updated
03/04/2020
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