Organization
BEAR LAKE PHARMACY, LLC
Active
Organization
BEAR LAKE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER L SEIFERT M.D. (OWNER)
(407) 848-4442
Entity
Organization
Contact information
Practice address
3840 E SEMORAN BLVD, SUITE 1048, APOPKA, FL 32703-6197
(407) 848-4442
(321) 444-6731
Mailing address
3840 E SEMORAN BLVD, SUITE 1048, APOPKA, FL 32703-6197
(407) 848-4442
(321) 444-6731
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
151690
FL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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