Lakeshore Family Medicine Associates Pc
Non-pharmacy Dispensing Site
7060 Erie Rd, Suite 100, Derby
New York, 14047-9430
716-947-0408 Lakeshore Family Medicine Associates Pc is a Non-pharmacy Dispensing Site in Derby, New York. This organization is also known as sub part of Medvantx, Inc.. It is located at 7060 Erie Rd, Suite 100, Derby and it's customer support contact number is 716-947-0408. The authorized person of Lakeshore Family Medicine Associates Pc is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Lakeshore Family Medicine Associates Pc is 233142 for Non-pharmacy Dispensing Site in New York.
Lakeshore Family Medicine Associates Pc is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Lakeshore Family Medicine Associates Pc 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: | Lakeshore Family Medicine Associates Pc |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 7060 Erie Rd, Suite 100, Derby,
New York, 14047-9430 |
| Phone: | 716-947-0408 |
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: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
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: | 1801211826 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 27 Feb, 2014 |
| NPI Last Update On: | 27 Feb, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeshore Family Medicine Associates Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 233142 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Lakeshore Family Medicine Associates Pc at
7060 Erie Rd, Suite 100, Derby, New York or can
call on customer care at 716-947-0408.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.