Organization
LAKEVIEW CENTER INC
Active
Other names
Lakeview Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY FLETCHER PHARM.D. (PHARMACY DIRECTOR)
(850) 469-3719
Entity
Organization
Contact information
Practice address
1201 W HERNANDEZ ST, PENSACOLA, FL 32501-1815
(850) 469-3719
(850) 595-1412
Mailing address
1201 W HERNANDEZ ST, PENSACOLA, FL 32501-1815
(850) 469-3719
(850) 595-1412
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH6084
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031722500
—
FL
01
—
2010017
PK
—
Enumeration date
05/01/2006
Last updated
12/28/2020
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