NORTHLAKE PHARMACY INC
7047 Highway 190 East Service Rd East Service Road
Covington, LA 70433
985-327-0594
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | LA | PHY006184IR |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 1934682 | OTHER |