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:
Map and Directions
Authorized official contact:
Name: Smith, P David David RPH
Phone: (336) 222-9811

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124161864 NPPES
North Carolina MEDICAID 0015701
North Carolina Other 3431246

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