Lakeside Family Pharmacy Llc

LBN: Lakeside Family Pharmacy Llc
Lakeside Family Pharmacy Llc is an health care organization with primary practice located at 1505 Northside Blvd Ste 1600, Cumming GA 30041-7623. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lakeside Family Pharmacy Llc can be contacted via phone (770) 781-1450, or through Constantinides, Apollon via phone (770) 781-1450.

Contact Information

Primary practice address
1505 Northside Blvd Ste 1600 Cumming GA 30041-7623
Phone: (770) 781-1450
Fax: (770) 781-1455
Website:
Map and Directions
Authorized official contact:
Name: Constantinides, Apollon RPH
Phone: (770) 781-1450

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009517 Georgia

Profile Details

NPI number 1215189311
LBN Legal business name Lakeside Family Pharmacy Llc
DBA Doing business as Lakeside Family Pharmacy Llc
Authorized official Constantinides, Apollon RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2008
Last updated Mar 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215189311 NPPES
Other 1157862 NCPDP PROVIDER IDENTIFICATION NUMBER

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