Lake Escape Inc in Burlington - Community/retail Pharmacy
Lake Escape Inc - NPI 1124161864
Lake Escape Inc is a Community/retail Pharmacy in Burlington, North Carolina. Lake Escape Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Lake Escape Inc is 1124161864. The last update date is 2008-11-05.
Lake Escape Inc's current location address is 378 W Harden St, Burlington, North Carolina. You can contact this provider via phone number 3362229811 and fax number 3362229310. The mailing address for Lake Escape Inc is 378 W Harden St, Burlington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Escape Inc |
|---|---|
| Address | 378 W Harden St, Burlington, North Carolina |
| Phone Number | 3362229811 |
| Fax Number | 3362229310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Smith David P David |
| Credentials | RPH |
| Telephone Number | 3362229811 |
NPI Number Detail
| NPI Number | 1124161864 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2008-11-05 |
Provider Mailing Address Detail
| Address | 378 W Harden St |
|---|---|
| City | Burlington |
| State | North Carolina (NC) |
| Post Code | 272157516 |
| Phone Number | 3362229811 |
| Fax Number | 3362229310 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | NC05919 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15701 | NC | -- | |
| 3431246 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique identification code assigned to Lake Escape Inc by the Centers for Medicare & Medicaid Services?
The Lake Escape Inc has been issued the NPI (National Provider Identifier) 1124161864. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lake Escape Inc located?
The Lake Escape Inc is located at 378 W Harden St, Burlington, NC 272157516.
What is the Lake Escape Inc's area of specialization and corresponding taxonomy classification?
The Lake Escape Inc's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124161864 to Lake Escape Inc?
The Centers for Medicare & Medicaid Services originally issued the 1124161864 to Lake Escape Inc on 2007-02-14.
When was the information regarding Lake Escape Inc most recently updated?
The details pertaining to the Lake Escape Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-11-05.