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LAKE HOSPITAL SYSTEM INC NPI 1912375601


NPI Information

NPI: 1912375601
Provider Name: LAKE HOSPITAL SYSTEM INC

Doing Business As: LAKE HEALTH PHARMACY - WEST

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
36000 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 375-8790
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LAKE HOSPITAL SYSTEM INC is a community/retail pharmacy pharmacy in Willoughby, OH. The provider is 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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LAKE HOSPITAL SYSTEM INC NPI is 1912375601. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake Health Pharmacy - West.

The provider's business location address is:

36000 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094-625
Phone: (440) 375-8790

The provider's authorized official is Carl Obendorf .
The authorized official title is Director and has the following contact phone number (440) 375-8791.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 9/11/2015.


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
13336C0003XPharmacyCommunity/Retail Pharmacy022537500OHIOYes

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
12153555OTHERPK

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

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