EAST LAKE PHARMACY INC
Suppliers at Lake Rd, Erie, PA

License number
Pennsylvania PP481227
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: RICHARD J KOSOBUCKI RPH
Title: OWNER
Phone: (814) 456-4108
Address
Address
1896 E Lake Rd, Erie, PA 16511
National Provider ID: 1326151432
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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East Lake Pharmacy Inc

1896 E Lk Rd, Erie, PA 16511

Industry:
Ret Drugs/Sundries
Doing business as:
Medicap Pharmacy 291
Phone:
(814) 456-4108 (Phone)
President, Owner, Pharmacist:
Richard Kosobucki (President, Owner, Pharmacist)

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