East Lake Pharmacy Inc
East Lake Pharmacy Inc is a Community/Retail Pharmacy in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1896 E Lake RdErie, PA 16511-1072
Phone: (814) 456-4108
Fax: (814) 456-4417
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PP481227 (PA) |
|---|
Record details
| NPI number | 1326151432 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Kosobucki — Owner · (814) 456-4108 |
| Other names | Medicap Pharmacy |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | 1896 E Lake Rd, Erie, PA 16511-1072 |
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