| Organization Name: | LAKEVIEW HOSPITAL INC. |
| NPI Number: | 1326178948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY JON SCHAD (PHARMACY MANAGER) |
| Mailing Address: | 8650 Hudson Blvd N Suite 100 Lake Elmo |
| State: | MN US |
| Postal Code: | 550429747 |
| Phone Number: | 6517027212 |
| Fax Number: | 6517027211 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | 2616081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |