Lake Pharmacy is a Pharmacist in Oakland, California. Lake Pharmacy practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lake Pharmacy is 1225252836. The last update date is 2023-03-07.
Lake Pharmacy's current location address is 287 13th St, Oakland, California. You can contact this provider via phone number 5108321804 and fax number 5108919278. The mailing address for Lake Pharmacy is 287 13th St, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Pharmacy |
|---|---|
| Address | 287 13th St, Oakland, California |
| Phone Number | 5108321804 |
| Fax Number | 5108919278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fong George Arnold |
| Credentials | PHARM. D. |
| Telephone Number | 5108321804 |
NPI Number Detail
| NPI Number | 1225252836 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 287 13th St |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946123900 |
| Phone Number | 5108321804 |
| Fax Number | 5108919278 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 27533 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 547426 | CA | NABP | |
| MEDI-CAL | CA | PHA368610 |
Post Comment/ Review Below
What is the Lake Pharmacy's 1225252836?
The Lake Pharmacy's NPI (National Provider Identifier) Number is 1225252836. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Pharmacy is physically located?
The Lake Pharmacy is physically situated at the following address: 287 13Th St, Oakland, CA, 946123900.
What is the Lake Pharmacy's area of specialization and corresponding taxonomy classification?
The Lake Pharmacy's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1225252836 to Lake Pharmacy?
The Centers for Medicare & Medicaid Services assigned the 1225252836 to Lake Pharmacy on 2007-04-13.
As of what date was the information pertaining to Lake Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lake Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.