Big Lake Pharmacy Inc in Okeechobee - Managed Care Organization Pharmacy
Big Lake Pharmacy Inc - NPI 1023098803
Big Lake Pharmacy Inc is a Managed Care Organization Pharmacy in Okeechobee, Florida. Big Lake Pharmacy Inc practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Big Lake Pharmacy Inc is 1023098803. The last update date is 2009-10-09.
Big Lake Pharmacy Inc's current location address is 203 Sw Park St, Okeechobee, Florida. You can contact this provider via phone number 8637631339 and fax number 8637631487. The mailing address for Big Lake Pharmacy Inc is 203 Sw Park St, Okeechobee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Big Lake Pharmacy Inc |
|---|---|
| Address | 203 Sw Park St, Okeechobee, Florida |
| Phone Number | 8637631339 |
| Fax Number | 8637631487 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRES |
|---|---|
| Authorized Official Name | Nelson Steven |
| Credentials | RPH/CPH |
| Telephone Number | 8636344002 |
NPI Number Detail
| NPI Number | 1023098803 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2009-10-09 |
Provider Mailing Address Detail
| Address | 203 Sw Park St |
|---|---|
| City | Okeechobee |
| State | Florida (FL) |
| Post Code | 349724160 |
| Phone Number | 8637631339 |
| Fax Number | 8637631487 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
|
Definition: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31557500 | FL | -- | |
| 1096785 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Big Lake Pharmacy Inc by the Centers for Medicare & Medicaid Services?
The Big Lake Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1023098803 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Big Lake Pharmacy Inc is physically located?
The Big Lake Pharmacy Inc is situated at the following address: 203 Sw Park St, Okeechobee, FL 349724160.
What is Big Lake Pharmacy Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Big Lake Pharmacy Inc is Managed Care Organization Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336M0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023098803 to Big Lake Pharmacy Inc?
The Centers for Medicare & Medicaid Services assigned the 1023098803 to Big Lake Pharmacy Inc on 2006-01-18.
As of what date was the information regarding Big Lake Pharmacy Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Big Lake Pharmacy Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-09.