Organization
BIG LAKE PHARMACY INC
Active
Other names
BIG LAKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NELSON RPH/CPH (CEO/PRES)
(863) 634-4002
Entity
Organization
Contact information
Practice address
203 SW PARK ST, STE B, OKEECHOBEE, FL 34972-4160
(863) 763-1339
(863) 763-1487
Mailing address
203 SW PARK ST, STE B, OKEECHOBEE, FL 34972-4160
(863) 763-1339
(863) 763-1487
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH18708
FL
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031557500
—
FL
01
—
1096785
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/18/2006
Last updated
10/09/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us