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LAKE PLACID PHARMACY INC

Medical Equipment Supplier Yellow Pages

Lake Placid, Florida

Provider NPI: 1558404442

Organization Information:
Organization Name:  LAKE PLACID PHARMACY INC


Practice Location:
224 E INTERLAKE BLVD  LAKE PLACID, FL 33852 US
Tel: 863-385-5588  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
Y3336C0003XSuppliers
Pharmacy
FLPH21893

Other Provider Identifiers:

IssuerNumberStateType
031423400FL05
OTHER ID NUMBER102103101
OTHER ID NUMBER-COMMERCIAL NUMBER102103101
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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