Organization
WEST LAKE PHARMACY INC
Active
Organization
WEST LAKE PHARMACY INC
Active
Other names
WEST LAKE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAPOLEON ONYECHI (MANAGER)
(407) 344-4555
Entity
Organization
Contact information
Practice address
2544 SIMPSON RD, KISSIMMEE, FL 34744-4637
(407) 344-4555
(407) 344-4566
Mailing address
2544 SIMPSON RD, KISSIMMEE, FL 34744-4637
(407) 344-4555
(407) 344-4566
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25247
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003526500
—
FL
01
—
2130063
PK
—
Enumeration date
03/18/2011
Last updated
08/20/2015
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