Lakeview Memorial Hospital Association Inc
Pharmacy
927 Churchill St W, Stillwater
Minnesota, 55082-6605
651-430-4563 651-430-4630
Lakeview Memorial Hospital Association Inc is an authorized DME supplier for medicare equipments and products.
Lakeview Memorial Hospital Association Inc is a Pharmacy in Stillwater, Minnesota. It is located at 927 Churchill St W, Stillwater and it's customer support contact number is 651-430-4563. The authorized person of Lakeview Memorial Hospital Association Inc is Douglas Edward Johnson who is Cfo of the pharmacy and his contact number is 651-430-4581. Active license number of Lakeview Memorial Hospital Association Inc is 2612331 for Pharmacy in Minnesota. Lakeview Memorial Hospital Association Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lakeview Memorial Hospital Association Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Lakeview Memorial Hospital Association Inc 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: | Lakeview Memorial Hospital Association Inc |
| Type: | Pharmacy |
| Location: | 927 Churchill St W, Stillwater, Minnesota, 55082-6605 |
| Phone: | 651-430-4563 |
| Fax: | 651-430-4630 |
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: | Douglas Edward Johnson |
| Position: | Cfo |
| Contact Number: | 651-430-4581 |
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: | 1326124454 |
| NPI Enumeration Date: | 31 Oct, 2006 |
| NPI Last Update On: | 03 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lakeview Memorial Hospital Association Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 2612331 | Minnesota | Primary | |
| Durable Medical Equipment & Medical Supplies | 261233 | Minnesota | 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 |
| 242458-1 | Other | Minnesota | Nabp Number |
| 33218600 | Medicaid | Wisconsin | |
| 194023600 | Medicaid | Minnesota | |
Medicare Enrollment:
Lakeview Memorial Hospital Association Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951210855 | O20100930065724 | Lakeview Memorial Hospital Association Inc | DME SUPPLIER - PHARMACY |
Products Available:
Lakeview Memorial Hospital Association Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Nebulizer Equipment & Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 927 Churchill St W, Stillwater, Minnesota |
| Zip: | 55082-6605 |
| Phone Number: | 651-430-4563 |
| Fax Number: | 651-430-4630 |
Patients can reach Lakeview Memorial Hospital Association Inc at
927 Churchill St W, Stillwater, Minnesota or can
call on customer care at 651-430-4563.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.