Organization
NORTH FORT MYERS PRESCRIPTION SHOP, INC.
Active
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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