Lake Health Services
Community/Retail Pharmacy
15230 Lakeshore Dr, Clearlake
California, 95422
707-994-3141 707-994-7150
Lake Health Services is not a DME supplier for medicare equipments and products.
Lake Health Services is a Community/Retail Pharmacy in Clearlake, California. 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 Health Services is Tim Nguyen, PHARMD who is President of the pharmacy and his contact number is 925-586-2112. Active license number of Lake Health Services is PHY55420 for Community/Retail Pharmacy in California.
Lake Health Services 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 Health Services 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 Health Services |
| 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 Health Services 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 |
Patients can reach Lake Health Services at
15230 Lakeshore Dr, Clearlake, California or can
call on customer care at 707-994-3141.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.