1275682007 NPI number — LAKES AREA PHARMACY

Table of content: (NPI 1275682007)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275682007 NPI number — LAKES AREA PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LAKES AREA PHARMACY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LAKES AREA PHARMACY INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275682007
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 187
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEQUOT LAKES
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
56472-0187
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
218-568-5884
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30503 STATE HWY 371
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PEQUOT LAKES
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56472-2913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-568-5884
Provider Business Practice Location Address Fax Number:
218-568-8473
Provider Enumeration Date:
01/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PARRY
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
218-568-5884

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 2605377 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2046127 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 854360700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".