Lake Placid Drug Co.

NPI #1790784346 in Lake Placid, Florida

Provider Information

NPI Number: 1790784346
Entity Type: Organization
Organization Name: Lake Placid Drug Co.
Primary Specialty: Pharmacist
Enumeration Date: Jul 16, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 224 E INTERLAKE BLVD
City: Lake Placid
State: Florida
ZIP Code: 33852-9603
Phone: (863) 465-2751

Authorized Official

Name: CHARLES D. STIDHAM, RPH
Title: OWNER/PHARMACIST
Phone: (863) 465-2291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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