Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE COUNTRY PHARMACY
Active OrganizationLAKE COUNTRY PHARMACY is a Pharmacist organization located in OCONOMOWOC, Wisconsin. NPI 1184612749 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1184612749
- Provider Type
- Organization
- NPI Issued
- Oct 7, 2005 (20.863666868745 yrs)
- Last Updated
- Aug 22, 2020
- License
-
6944 (WI)
Practice Information
- Address
-
791 SUMMIT AVEOCONOMOWOC, WI, 530663844Browse WI providers · Browse ZIP 53066
- Phone
- 2625690284
- Fax
- 2625690539
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.