Lake Wire Pharmacy Inc in Lakeland - Pharmacist
Lake Wire Pharmacy Inc - NPI 1104983899
Lake Wire Pharmacy Inc is a Pharmacist in Lakeland, Florida. Lake Wire Pharmacy Inc practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Lake Wire Pharmacy Inc is 1104983899. The last update date is 2020-08-22.
Lake Wire Pharmacy Inc's current location address is 505 Martin Luther King Jr Ave, Lakeland, Florida. You can contact this provider via phone number 8636826880 and fax number 8636880721. The mailing address for Lake Wire Pharmacy Inc is 505 Martin Luther King Jr Ave, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Wire Pharmacy Inc |
|---|---|
| Address | 505 Martin Luther King Jr Ave, Lakeland, Florida |
| Phone Number | 8636826880 |
| Fax Number | 8636880721 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY M |
|---|---|
| Authorized Official Name | Dickens Bennett Chorette |
| Credentials | R PH PHARM |
| Telephone Number | 8636826880 |
NPI Number Detail
| NPI Number | 1104983899 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 505 Martin Luther King Jr Ave |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 33815 |
| Phone Number | 8636826880 |
| Fax Number | 8636880721 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PS18682 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the Lake Wire Pharmacy Inc's 1104983899?
The Lake Wire Pharmacy Inc's NPI (National Provider Identifier) Number is 1104983899. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lake Wire Pharmacy Inc?
The Lake Wire Pharmacy Inc is situated at 505 Martin Luther King Jr Ave, in the city of Lakeland, state of FL, with the zip code 33815.
What is Lake Wire Pharmacy Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lake Wire Pharmacy Inc's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
On what date did Lake Wire Pharmacy Inc receive its 1104983899 assignment from the Centers for Medicare & Medicaid Services?
The Lake Wire Pharmacy Inc was assigned its 1104983899 on 2007-01-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lake Wire Pharmacy Inc last refreshed?
The information related to the Lake Wire Pharmacy Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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