Lake Pharmacy is not a DME supplier for medicare equipments and products.
Lake Pharmacy is a Community/Retail Pharmacy in Clearlake, California. This pharmacy is owned and operated by Lake Health Services. This organization is also known as sub part of Lake Health Services. It is located at 15230 Lakeshore Dr, Clearlake and it's customer support contact number is 707-994-3141. The authorized person of Lake Pharmacy is Tim Nguyen, PHARMD who is President of the pharmacy and his contact number is 925-586-2112. Active license number of Lake Pharmacy is PHY55420 for Community/Retail Pharmacy in California. Lake Pharmacy 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.
Pharmacy Details:
Lake Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Lake Pharmacy
Type:
Community/Retail Pharmacy
Location:
15230 Lakeshore Dr, Clearlake, California, 95422
Phone:
707-994-3141
Fax:
707-994-7150
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Tim Nguyen
Credentials:
PHARMD
Position:
President
Contact Number:
925-586-2112
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1770580268
Parent Organization:
Lake Health Services
NPI Enumeration Date:
30 Jun, 2005
NPI Last Update On:
01 May, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY55420
California
Primary
Long Term Care Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2001004
Other
Pk
PHA471230
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 6376, Clearlake, California
Zip:
95422-7150
Phone Number:
707-994-3141
Fax Number:
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Patients can reach Lake Pharmacy at 15230 Lakeshore Dr, Clearlake, California or can call on customer care at 707-994-3141.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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