Lakeside Discount Pharmacy

LBN: Raghavendra Pharmacy Inc
Lakeside Discount Pharmacy is an health care organization with primary practice located at 5431 N State Road 7 , Tamarac FL 33319-2921. 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. Raghavendra Pharmacy Inc can be contacted via phone (954) 485-4903, or through Shakhamoori, Nagesh via phone (248) 631-6612.

Contact Information

Primary practice address
5431 N State Road 7 Tamarac FL 33319-2921
Phone: (954) 485-4903
Fax: (954) 485-4948
Website:
Map and Directions
Authorized official contact:
Name: Shakhamoori, Nagesh
Phone: (248) 631-6612

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH24727 Florida

Profile Details

NPI number 1164734927
LBN Legal business name Raghavendra Pharmacy Inc
DBA Doing business as Lakeside Discount Pharmacy
Authorized official Shakhamoori, Nagesh
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2010
Last updated Jul 9th, 2010 - about 15 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 1164734927 NPPES
Other 5700605 NCPDP PROVIDER IDENTIFICATION NUMBER

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