Eagle Lake Pharmacy INC
NPI #1023374063 in Lakeland, Florida
Provider Information
- NPI Number
- 1023374063
- Entity Type
- Organization
- Organization Name
- Eagle Lake Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 4, 2012
- Last Updated
- Nov 23, 2016
Practice Location
Authorized Official
- Name
- POLYCARP AGBARA
- Title
- OWNER
- Phone
- (863) 738-8002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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