Organization
LAKEWOOD HEALTH CARE CNTR PHARMACY
Active
Parent organization
LAKEWOOD HEALTH CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEWOOD HEALTH CARE CENTER
Authorized official
MARK LUDWIG (DIR)
(716) 631-3381
Entity
Organization
Contact information
Practice address
5775 MAELOU DR, HAMBURG, NY 14075-7419
(716) 648-2820
(716) 631-8732
Mailing address
1142 WEHRLE DR, WILLIAMSVILLE, NY 14221-7748
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
025091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3323590
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
06/19/2008
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