Organization
LANCASTER DRUGS LLC
Active
Other names
Lancaster Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIVERA (LICENSING SPECIALIST)
(813) 304-2221
Entity
Organization
Contact information
Practice address
100 GREEN STREET, STE A, LANCASTER, MO 63548
(660) 457-3220
(660) 457-3240
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158411
PK
—
Enumeration date
02/23/2016
Last updated
07/10/2020
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