Lake Escape INC
NPI #1124161864 in Burlington, North Carolina
Provider Information
- NPI Number
- 1124161864
- Entity Type
- Organization
- Organization Name
- Lake Escape INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Feb 14, 2007
- Last Updated
- Nov 5, 2008
Practice Location
- Address
- 378 W HARDEN ST
- City
- Burlington
- State
- North Carolina
- ZIP Code
- 27215-7516
- Phone
- (336) 222-9811
Authorized Official
- Name
- P DAVID DAVID SMITH, RPH
- Title
- PRESIDENT
- Phone
- (336) 222-9811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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