Organization
LAKESIDE DISCOUNT PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATAN NAGARAYEV (PRESIDENT)
(929) 218-3204
Entity
Organization
Contact information
Practice address
2515 ROUTE 6, HAWLEY, PA 18428-7050
(929) 218-3204
Mailing address
2515 ROUTE 6, HAWLEY, PA 18428-7050
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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