Organization
MEDLUX LLC
Active
Other names
Pharmacy of the Highlands
Organization subpart
No
Provider details
NPI number
Authorized official
SYLINDA FULSE (DIRECTOR OF PHARMACY)
(863) 709-3288
Entity
Organization
Contact information
Practice address
3655 INNOVATION DR, LAKELAND, FL 33812-4106
(863) 709-3288
Mailing address
PO BOX 205, HIGHLAND CITY, FL 33846-0205
(863) 709-3288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30168
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160681
PK
—
Enumeration date
06/01/2016
Last updated
06/21/2016
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