Lakewales Pharmacy

LBN: Giriraj Llc
Lakewales Pharmacy is an health care organization with primary practice located at 1322 State Road 60 E , Lake Wales FL 33853-4322. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Giriraj Llc can be contacted via phone (863) 676-0400, or through Trivedi, Gopika via phone (863) 676-0400.

Contact Information

Primary practice address
1322 State Road 60 E Lake Wales FL 33853-4322
Phone: (863) 676-0400
Fax: (863) 676-0445
Website:
Map and Directions
Authorized official contact:
Name: Trivedi, Gopika
Phone: (863) 676-0400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26509 Florida

Profile Details

NPI number 1497099055
LBN Legal business name Giriraj Llc
DBA Doing business as Lakewales Pharmacy
Authorized official Trivedi, Gopika
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2012
Last updated Feb 21st, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497099055 NPPES
Other 2137946 PK

Popular Providers