Organization
LAKEWOOD APOTHECARY AND NATURAL HEALTH CENTER INC
Active
Other names
LAKEWOOD APOTHECARY NATURAL HEALTH CARE INC
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROUEGNO RPH (OWNER/PRESIDENT)
(716) 763-0016
Entity
Organization
Contact information
Practice address
130 CHAUTAUQUA AVE, LAKEWOOD, NY 14750-1241
(716) 763-0016
(716) 763-0076
Mailing address
130 CHAUTAUQUA AVE, LAKEWOOD, NY 14750-1241
(716) 763-0016
(716) 763-0076
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027528
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02756967
—
NY
01
—
2067651
PK
—
Enumeration date
07/30/2006
Last updated
09/23/2016
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