Lakeside Pharmacy

LBN: Lakeside Pharmacy, Llc
Lakeside Pharmacy is an health care organization with primary practice located at 1100 Northside Forsyth Dr Suite 110, Cumming GA 30041-6012. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lakeside Pharmacy, Llc can be contacted via phone (770) 205-0290, or through Constantinides, Apollon Anthony via phone (770) 205-0290.

Contact Information

Primary practice address
1100 Northside Forsyth Dr Suite 110 Cumming GA 30041-6012
Phone: (770) 205-0290
Fax: (770) 205-7386
Website:
Map and Directions
Authorized official contact:
Name: Constantinides, Apollon Anthony PHARM D
Phone: (770) 205-0290

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 008517 Georgia

Profile Details

NPI number 1437281847
LBN Legal business name Lakeside Pharmacy, Llc
DBA Doing business as Lakeside Pharmacy
Authorized official Constantinides, Apollon Anthony PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2007
Last updated Feb 5th, 2008 - about 17 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 1437281847 NPPES
Georgia MEDICAID 00913811A

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