Lake Pharmacy INC
NPI #1972592889 in Belle Glade, Florida
Provider Information
- NPI Number
- 1972592889
- Entity Type
- Organization
- Organization Name
- Lake Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 14, 2005
- Last Updated
- Aug 18, 2011
Practice Location
- Address
- 25 MARTIN LUTHER KING JR BLVD
- Address 2
- SUITE 3
- City
- Belle Glade
- State
- Florida
- ZIP Code
- 33430-4044
- Phone
- (561) 996-0200
Authorized Official
- Name
- ROBERT STORY, RPA
- Title
- RPA
- Phone
- (561) 996-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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