Organization
LILDARLIN INVESTMENTS INC
Active
Organization
LILDARLIN INVESTMENTS INC
Active
Other names
lakeview pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL WIAFE (PRESIDENT)
(863) 458-2222
Entity
Organization
Contact information
Practice address
1542 LAKEVIEW DR STE 1, SEBRING, FL 33870-7957
(863) 385-2200
(863) 385-2225
Mailing address
4640 NADENA DR, SEBRING, FL 33872-1779
(863) 458-2222
(863) 658-2730
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25646
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132752
PK
—
Enumeration date
11/15/2011
Last updated
09/28/2015
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