Organization
NORTH FORT MYERS PRESCRIPTION SHOP, INC.
Active
Other names
North Fort Myers Prescription Shop
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LAWRENCE PHARMD (OWNER/PHARMACIST IN CHARGE)
(239) 599-4120
Entity
Organization
Contact information
Practice address
16251 N CLEVELAND AVE, SUITE 13, NORTH FORT MYERS, FL 33903-2176
(239) 599-4120
(239) 599-4122
Mailing address
16251 N CLEVELAND AVE, SUITE 13, NORTH FORT MYERS, FL 33903-2176
(239) 599-4120
(239) 599-4122
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25927
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004617200
—
FL
01
—
2133999
PK
—
Enumeration date
02/11/2012
Last updated
02/16/2017
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