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LAKE CITY PHARMACY LLC NPI 1679010763


NPI Information

NPI: 1679010763
Provider Name: LAKE CITY PHARMACY, LLC
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
33389 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 315-1200
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LAKE CITY PHARMACY, LLC is a pharmacy in Sterling Heights, MI. 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 CITY PHARMACY, LLC NPI is 1679010763. The provider is registered as an organization entity type.

The provider's business location address is:

33389 VAN DYKE AVE
STERLING HEIGHTS, MI
ZIP 48312
Phone: (586) 315-1200
Fax: (866) 902-3981

The provider's authorized official is Anne Marie Ange .
The authorized official title is Pharmacist In Charge/ Managing Empl and has the following contact phone number (586) 315-1200.

The enumeration date for this NPI number is 1/26/2017 and was last updated on 8/28/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
3333600000XPharmacy5301011132MICHIGANYes

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: 5/5/2024

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.