Organization
LAKE ONE COMMUNITY PHARMACY INC
Active
Other names
LAKE ONE COMMUNITY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE LAGUERRE (PHCY MGR)
(561) 433-3330
Entity
Organization
Contact information
Practice address
4849 LAKE WORTH RD, GREENACRES, FL 33463-3461
(561) 433-3330
(561) 296-7310
Mailing address
4849 LAKE WORTH RD, GREENACRES, FL 33463-3461
(561) 433-3330
(561) 296-7310
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006404
PK
—
Enumeration date
07/14/2006
Last updated
03/09/2015
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