Organization
HEARTLAND PHARMACY LAKE PLACID INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIN DUNCAN BRALTS PHARMD (PRESIDENT)
(863) 449-1006
Entity
Organization
Contact information
Practice address
342 E ROYAL PALM ST, LAKE PLACID, FL 33852-5019
(863) 659-1780
(863) 659-1786
Mailing address
342 E ROYAL PALM ST, LAKE PLACID, FL 33852-5019
(863) 659-1780
(863) 659-1786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH26570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008053901
—
FL
Enumeration date
01/10/2017
Last updated
01/10/2017
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