East Lake Pharmacy Inc in Erie - Community/retail Pharmacy
East Lake Pharmacy Inc - NPI 1326151432
East Lake Pharmacy Inc is a Community/retail Pharmacy in Erie, Pennsylvania. East Lake Pharmacy Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for East Lake Pharmacy Inc is 1326151432. The last update date is 2023-03-07.
East Lake Pharmacy Inc's current location address is 1896 E Lake Rd, Erie, Pennsylvania. You can contact this provider via phone number 8144564108 and fax number 8144564417. The mailing address for East Lake Pharmacy Inc is 1896 E Lake Rd, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Lake Pharmacy Inc |
|---|---|
| Address | 1896 E Lake Rd, Erie, Pennsylvania |
| Phone Number | 8144564108 |
| Fax Number | 8144564417 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kosobucki J Richard |
| Credentials | RPH |
| Telephone Number | 8144564108 |
NPI Number Detail
| NPI Number | 1326151432 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1896 E Lake Rd |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165111072 |
| Phone Number | 8144564108 |
| Fax Number | 8144564417 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PP481227 |
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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 |
|---|---|---|---|
| 3981479 | PA | NCPDP # | |
| 19341830001 | PA | -- |
Post Comment/ Review Below
What is the East Lake Pharmacy Inc's unique identification number?
The East Lake Pharmacy Inc has been assigned the NPI (National Provider Identifier) Number 1326151432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where East Lake Pharmacy Inc's facilities are geographically located?
The facilities of East Lake Pharmacy Inc are physically situated at the following location: 1896 E Lake Rd, Erie, PA, 165111072.
What is the East Lake Pharmacy Inc's area of specialization and corresponding taxonomy classification?
The East Lake Pharmacy Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326151432 to East Lake Pharmacy Inc?
The Centers for Medicare & Medicaid Services originally issued the 1326151432 to East Lake Pharmacy Inc on 2006-08-16.
When was the information related to East Lake Pharmacy Inc most recently updated or refreshed?
The details pertaining to the East Lake Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-07.