Organization Name: | THE LAKES COMMUNITY HEALTH CENTER, INC |
NPI Number: | 1568800407 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON AKL (COO) |
Mailing Address: | 7665 Us Highway 2 Iron River |
State: | WI US |
Postal Code: | 548474690 |
Phone Number: | 7153725001 |
Fax Number: | 7153725067 |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 9206-42 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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. |