LAKESIDE PHARMACY, LLC
Suppliers at Northside Forsyth Dr, Cumming, GA

License number
Georgia 008517
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: DR. APOLLON ANTHONY CONSTANTINIDES JR. PHARM D
Title: PRESIDENT
Phone: (770) 205-0290
Address
Address
1100 Northside Forsyth Dr SUITE 110, Cumming, GA 30041
National Provider ID: 1437281847
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKESIDE PHARMACY, LLC at bizstanding.com

LAKESIDE PHARMACY, LLC

Cumming, GA

Status:
Inactive
Industry:
Pharmacy
Registration:
Dec 8, 2000
Phone:
(770) 205-0290 (Phone)
Addresses:
1505 Northside Blvd SUITE 1600, Cumming, GA 30041 (Physical)
1100 Northsde Forsyth 1, Cumming, GA 30041
State ID:
0053776
Business type:
Domestic Limited Liability Company
Members:
Apollon Constantinides (Owner, Pharmacist),Ganga Pingili (Physician Assistant),Doty Constantinides Member, inactive
Agent:
Apollon A. Constantinides,1505 Northside Blvd #110, Cumming, GA (Physical)

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