Medicap Pharmacy
LBN: Lake Escape Inc
Medicap Pharmacy is an health care organization with primary practice located at 378 W Harden St , Burlington NC 27215-7516. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lake Escape Inc can be contacted via phone (336) 222-9811, or through Smith, P David David via phone (336) 222-9811.
Contact Information
Primary practice address
378 W Harden St
Burlington NC 27215-7516
Phone: (336) 222-9811
Fax: (336) 222-9310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | NC05919 | North Carolina |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1124161864 |
|---|---|
| LBN Legal business name | Lake Escape Inc |
| DBA Doing business as | Medicap Pharmacy |
| Authorized official | Smith, P David David RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Nov 5th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124161864 | NPPES |
| North Carolina | MEDICAID | 0015701 | |
| North Carolina | Other | 3431246 |
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