Organization
SUN AND LAKE PHARMACY SERVICES, INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
KWAME FOSU RPH (OWNER PHARMACIST)
(863) 688-5427
Entity
Organization
Contact information
Practice address
1231 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4673
(863) 688-5427
(863) 688-5462
Mailing address
1231 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4673
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
BP121476
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030900100
—
FL
01
—
1013767
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/30/2007
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up