Lakeside Pharmacy

LBN: Lakeside Pharmacy Llc
Lakeside Pharmacy is an health care organization with primary practice located at 9615 Sherrill Estates Rd Ste B , Huntersville NC 28078-6552. 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 Llc can be contacted via phone (980) 441-8600, or through Gadwal, Thanveer Reddy via phone (980) 441-8600.

Contact Information

Primary practice address
9615 Sherrill Estates Rd Ste B Huntersville NC 28078-6552
Phone: (980) 441-8600
Fax: (980) 444-8625
Website:
Map and Directions
Authorized official contact:
Name: Gadwal, Thanveer Reddy PHARMD
Phone: (980) 441-8600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 13756 North Carolina

Profile Details

NPI number 1245723725
LBN Legal business name Lakeside Pharmacy Llc
DBA Doing business as Lakeside Pharmacy
Authorized official Gadwal, Thanveer Reddy PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2018
Last updated Sep 24th, 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 1245723725 NPPES
Other 2177949 PK

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