North Fort Myers Prescription Shop
LBN: North Fort Myers Prescription Shop, Inc.
North Fort Myers Prescription Shop is an health care organization with primary practice located at 16251 N Cleveland Ave Suite 13, North Fort Myers FL 33903-2176. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
North Fort Myers Prescription Shop, Inc. can be contacted via phone (239) 599-4120, or through Lawrence, Lisa via phone (239) 599-4120.
Contact Information
Primary practice address
16251 N Cleveland Ave Suite 13
North Fort Myers FL 33903-2176
Phone: (239) 599-4120
Fax: (239) 599-4122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH25927 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1700159498 |
|---|---|
| LBN Legal business name | North Fort Myers Prescription Shop, Inc. |
| DBA Doing business as | North Fort Myers Prescription Shop |
| Authorized official | Lawrence, Lisa PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 11th, 2012 |
| Last updated | Feb 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700159498 | NPPES |
| Other | 2133999 | PK | |
| MEDICAID | 004617200 | PK |
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