Organization
LAKE PLACID PHARMACY INC
Active
Other names
LAKE PLACID DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUNCAN RPH (OWNER AND PRESIDENT)
(863) 385-5588
Entity
Organization
Contact information
Practice address
224 E INTERLAKE BLVD, LAKE PLACID, FL 33852-9603
(863) 385-5588
(863) 465-3977
Mailing address
6360 US 27 N, SEBRING, FL 33870-1225
(863) 385-5588
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21893
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031423400
—
FL
01
—
1021031
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/14/2007
Last updated
04/11/2014
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