Organization
D&S LLC
Active
Other names
Lakeside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STEINMAN (OWNER)
(509) 476-4747
Entity
Organization
Contact information
Practice address
1117 MAIN ST, OROVILLE, WA 98844-9467
(509) 476-4747
(509) 476-4646
Mailing address
1117 MAIN ST, OROVILLE, WA 98844-9467
(509) 476-4747
(509) 476-4646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHAR.CF.60780815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2090740
—
WA
01
—
2171614
PK
—
Enumeration date
10/09/2017
Last updated
01/29/2020
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