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Contact Information

LAKESHORE PHARMACIES, INC
211 EAST MAIN STREET
FENNVILLE, MI49408
 Phone: 269-561-4411
 Fax: 269-561-5474
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LAKESHORE PHARMACIES, INC

NPI # 1487664330
LBN Legal business name LAKESHORE PHARMACIES, INC
Authorized official DANIEL ALEXANDER - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/09/2006
Last updated 07/17/2015 - About 11 years ago
Identifiers
MI License # 5301005615
MI Medicaid 2349733
Other 2349733 NCPDP
MI Other 2349733 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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