National Provider Identifier Database

LAKEVIEW PHARMACY OF RACINE INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

LAKEVIEW PHARMACY OF RACINE INC
516 MONUMENT SQ
RACINE, WI53403-1033
Phone: 262-632-0520
Fax: 262-632-6777
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for LAKEVIEW PHARMACY OF RACINE INC

NPI Number 1154325199
Legal business name
LBN
LAKEVIEW PHARMACY OF RACINE INC
Authorized official CHERYL ROBOTKA - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/08/2005
Last updated 08/23/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 7185-42
  • WI Medicaid: 33069400
  • Other: 2114710 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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