Organization · Type 2 NPI

Lake Health Services

Community/Retail Pharmacy · Clearlake, CA

NPI number 1770580268 Active

Practice location

15230 Lakeshore Dr
Clearlake, CA 95422

Call (707) 994-3141 Map

Fax (707) 994-7150

Mailing address

PO Box 6376
Clearlake, CA 95422-7150

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY55420 (CA)
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

63 other providers at this address

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NPI record

NPI: 1770580268
Entity type: Organization (Type 2)
Issued: Jun 30, 2005
Last updated: May 1, 2020
Status: Active
Subpart: Yes of Lake Health Services

Other names

<unavail>
Lake Pharmacy · doing business as
Lake Pharmacy · doing business as

Authorized official

Tim Nguyen, PharmD
President
(925) 586-2112

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770580268

Lake Health Services's National Provider Identifier is 1770580268, issued on Jun 30, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Clearlake, CA. The record was last updated on May 1, 2020.