Medicine Shoppe

LBN: Sun And Lake Pharmacy Services, Inc
Medicine Shoppe is an health care organization with primary practice located at 1231 Lakeland Hills Blvd , Lakeland FL 33805-4673. 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. Sun And Lake Pharmacy Services, Inc can be contacted via phone (863) 688-5427, or through Fosu, Kwame via phone (863) 688-5427.

Contact Information

Primary practice address
1231 Lakeland Hills Blvd Lakeland FL 33805-4673
Phone: (863) 688-5427
Fax: (863) 688-5462
Website:
Map and Directions
Authorized official contact:
Name: Fosu, Kwame RPH
Phone: (863) 688-5427

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X BP121476 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1306982913
LBN Legal business name Sun And Lake Pharmacy Services, Inc
DBA Doing business as Medicine Shoppe
Authorized official Fosu, Kwame RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 7th, 2023 - about last year

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 1306982913 NPPES
Other 1013767 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 030900100 OTHER ID NUMBER-COMMERCIAL NUMBER

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