Heartland Pharmacy

LBN: Heartland Pharmacy Lake Placid
Heartland Pharmacy is an health care organization with primary practice located at 342 E Royal Palm St , Lake Placid FL 33852-5019. 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. Heartland Pharmacy Lake Placid can be contacted via phone (863) 659-1780, or through Bralts, Carin via phone (863) 449-1006.

Contact Information

Primary practice address
342 E Royal Palm St Lake Placid FL 33852-5019
Phone: (863) 659-1780
Fax: (863) 659-1786
Website:
Map and Directions
Authorized official contact:
Name: Bralts, Carin PHARMD
Phone: (863) 449-1006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26570 Florida

Profile Details

NPI number 1811233430
LBN Legal business name Heartland Pharmacy Lake Placid
DBA Doing business as Heartland Pharmacy
Authorized official Bralts, Carin PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2012
Last updated Mar 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811233430 NPPES
Other 2138527 PK
MEDICAID 008053900 PK

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