Provider Demographics
NPI:1023626389
Name:LEMONAID COMMUNITY PHARMACY, INC
Entity type:Organization
Organization Name:LEMONAID COMMUNITY PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:ELAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDDLE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:888-233-1579
Mailing Address - Street 1:7580 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-4409
Mailing Address - Country:US
Mailing Address - Phone:618-407-8446
Mailing Address - Fax:888-233-1579
Practice Address - Street 1:7580 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-4409
Practice Address - Country:US
Practice Address - Phone:888-233-1579
Practice Address - Fax:888-233-1579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy