LAKE HEALTH SERVICES
15230 Lakeshore Dr
Clearlake, CA 95422
707-994-3141
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers - Pharmacy - Long Term Care Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY55420 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA471230 | CA | MEDICAID | |
PK | 2001004 | OTHER |