OrganizationActive
Lake Country Pharmacy
NPI 1184612749 · Pharmacist · Oconomowoc, WI
Lake Country Pharmacy is a Pharmacist organization in Oconomowoc, WI (NPI 1184612749).
Provider details
- NPI number
- 1184612749
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Mary Houston, Pharmacist(262) 569-0284
- License
- 6944 (WI)
Practice location
791 Summit Ave
Oconomowoc, WI 53066-3844
Phone: (262) 569-0284
Fax: (262) 569-0539
Street-level locationGet directions
Mailing address
791 Summit Ave
Oconomowoc, WI 53066-3844
Registry dates
- Enumerated
- 2005-10-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.