Lakeside Family Medicine Conneaut Lake is not a DME supplier for medicare equipments and products.
Lakeside Family Medicine Conneaut Lake is a Non-pharmacy Dispensing Site in Conneaut Lake, Pennsylvania. This pharmacy is owned and operated by Upmc Community Medicine. This organization is also known as sub part of Medvantx, Inc. It is located at 11065 State Highway 18, Suite 1, Conneaut Lake and it's customer support contact number is 814-382-6550. The authorized person of Lakeside Family Medicine Conneaut Lake is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Lakeside Family Medicine Conneaut Lake is OS012755 for Non-pharmacy Dispensing Site in Pennsylvania. Lakeside Family Medicine Conneaut Lake 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:
Lakeside Family Medicine Conneaut Lake 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:
Lakeside Family Medicine Conneaut Lake
Type:
Non-pharmacy Dispensing Site
Location:
11065 State Highway 18, Suite 1, Conneaut Lake, Pennsylvania, 16316-3569
Phone:
814-382-6550
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:
1013316553
Parent Organization:
Medvantx, Inc
NPI Enumeration Date:
21 Aug, 2014
NPI Last Update On:
21 Aug, 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 Lakeside Family Medicine Conneaut Lake are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
OS012755
Pennsylvania
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:
--
Fax Number:
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Patients can reach Lakeside Family Medicine Conneaut Lake at 11065 State Highway 18, Suite 1, Conneaut Lake, Pennsylvania or can call on customer care at 814-382-6550.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Other Pharmacies in Conneaut Lake, Pennsylvania
Rite Aid Pharmacy 10999 Address: 100 South Third Street, Conneaut Lake, PA Phone: 814-382-2380