Lakeside Pharmacy Inc.

LBN: Lakeside Pharmacy Inc.
Lakeside Pharmacy Inc. is an health care organization with primary practice located at 998 Shady Grove Rd Unit 1-H , Hot Springs AR 71901-8094. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lakeside Pharmacy Inc. can be contacted via phone (501) 262-5400, or through Lechak, David E via phone (501) 262-5400.

Contact Information

Primary practice address
998 Shady Grove Rd Unit 1-H Hot Springs AR 71901-8094
Phone: (501) 262-5400
Fax: (501) 262-5404
Website:
Map and Directions
Authorized official contact:
Name: Lechak, David E PD
Phone: (501) 262-5400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X AR20646 Arkansas

Profile Details

NPI number 1801185574
LBN Legal business name Lakeside Pharmacy Inc.
DBA Doing business as Lakeside Pharmacy Inc.
Authorized official Lechak, David E PD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2011
Last updated Mar 4th, 2020 - about 4 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 1801185574 NPPES
Arkansas MEDICAID 186438407
Arkansas Other 2129891

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