# HEARTLAND PHARMACY LAKE PLACID INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063958437
- **Authorized official:** CARIN DUNCAN BRALTS PHARMD (PRESIDENT)
- **Authorized official phone:** (863) 449-1006

## Contact information

- **Practice address:** 342 E ROYAL PALM ST, LAKE PLACID, FL 33852-5019
- **Practice address phone:** (863) 659-1780
- **Practice address fax:** (863) 659-1786
- **Mailing address:** 342 E ROYAL PALM ST, LAKE PLACID, FL 33852-5019
- **Mailing address phone:** (863) 659-1780
- **Mailing address fax:** (863) 659-1786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | PH26570 | FL | Yes |

## Other

- **Enumeration date:** 01/10/2017
- **Last updated:** 01/10/2017