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LAKE SHORE DRUGS LLC NPI 1518328038


NPI Information

NPI: 1518328038
Provider Name: LAKE SHORE DRUGS LLC

Doing Business As: MIKE'S PHARMACY II

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
3820 MOUNTAIN RD UNIT G
PASADENA, MD
ZIP 21122
Phone: (410) 255-0099
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LAKE SHORE DRUGS LLC is a pharmacy in Pasadena, MD. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. LAKE SHORE DRUGS LLC NPI is 1518328038. The provider is registered as an organization entity type.
The provider Is Doing Business As Mike's Pharmacy Ii.

The provider's business location address is:

3820 MOUNTAIN RD UNIT G
PASADENA, MD
ZIP 21122-027
Phone: (410) 255-0099
Fax: (410) 255-0799

The provider's authorized official is Shalendra Cherukuri .
The authorized official title is Member and has the following contact phone number (410) 255-0099.

The enumeration date for this NPI number is 3/10/2016 and was last updated on 3/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacyP07151MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12159782OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.