Lake Wire Pharmacy Inc

LBN: Lake Wire Pharmacy Inc
Lake Wire Pharmacy Inc is an health care organization with primary practice located at 505 Martin Luther King Jr Ave Suite 3, Lakeland FL 33815. The organization recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Pharmacy. Pharmacy Service Providers / Pharmacist is the primary health care specialty. Lake Wire Pharmacy Inc can be contacted via phone (863) 682-6880, or through Dickens, Chorette Bennett via phone (863) 682-6880.

Contact Information

Primary practice address
505 Martin Luther King Jr Ave Suite 3 Lakeland FL 33815
Phone: (863) 682-6880
Fax: (863) 688-0721
Website:
Map and Directions
Authorized official contact:
Name: Dickens, Chorette Bennett R PH PHARM D
Phone: (863) 682-6880

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS18682 Florida
Suppliers / Pharmacy 333600000X PH10343 Florida

Profile Details

NPI number 1104983899
LBN Legal business name Lake Wire Pharmacy Inc
DBA Doing business as
Authorized official Dickens, Chorette Bennett R PH PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 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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