Lake Arrowhead Village Pharmacy in Lake Arrowhead - Community/retail Pharmacy
Lake Arrowhead Village Pharmacy - NPI 1518034198
Lake Arrowhead Village Pharmacy is a Community/retail Pharmacy in Lake Arrowhead, California. Lake Arrowhead Village Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Lake Arrowhead Village Pharmacy is 1518034198. The last update date is 2011-07-25.
Lake Arrowhead Village Pharmacy's current location address is 28200 St Hwy 189, Lake Arrowhead, California. You can contact this provider via phone number 9093360120 and fax number 9093360140. The mailing address for Lake Arrowhead Village Pharmacy is 28200 St Hwy 189, Lake Arrowhead, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Arrowhead Village Pharmacy |
|---|---|
| Address | 28200 St Hwy 189, Lake Arrowhead, California |
| Phone Number | 9093360120 |
| Fax Number | 9093360140 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Blain Michelle |
| Telephone Number | 9093360120 |
NPI Number Detail
| NPI Number | 1518034198 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2011-07-25 |
Provider Mailing Address Detail
| Address | 28200 St Hwy 189 |
|---|---|
| City | Lake Arrowhead |
| State | California (CA) |
| Post Code | 923529700 |
| Phone Number | 9093360120 |
| Fax Number | 9093360140 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY46040 |
|
Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 588600 | NCPDP PROVIDER IDENTIFICATION | ||
| PHA460400 | CA | -- |
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What is the Lake Arrowhead Village Pharmacy's 1518034198?
The Lake Arrowhead Village Pharmacy's NPI (National Provider Identifier) Number is 1518034198. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lake Arrowhead Village Pharmacy?
The Lake Arrowhead Village Pharmacy is situated at 28200 St Hwy 189, in the city of Lake Arrowhead, state of CA, with the zip code 923529700.
What is Lake Arrowhead Village Pharmacy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Arrowhead Village Pharmacy is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518034198 to Lake Arrowhead Village Pharmacy?
The Centers for Medicare & Medicaid Services originally issued the 1518034198 to Lake Arrowhead Village Pharmacy on 2006-11-29.
As of what date were the details related to Lake Arrowhead Village Pharmacy most recently updated or revised?
The information pertaining to Lake Arrowhead Village Pharmacy, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-25.
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