Organization
HEARTLAND MEDICAL SUPPLY INC
Active
Other names
HEARTLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUNCAN RPH (OWNER AND PRESIDENT)
(863) 385-7673
Entity
Organization
Contact information
Practice address
204 US 27 S, LAKE PLACID, FL 33852-7900
(863) 699-6155
(863) 465-9656
Mailing address
6360 US 27 N, SEBRING, FL 33870-1225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH15581
FL
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083663
OTHER ID NUMBER
—
Enumeration date
02/14/2007
Last updated
10/09/2007
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