Organization
RX CARE OF LADY LAKE INC.
Active
Other names
Lady Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
725 HIGHWAY 466, LADY LAKE, FL 32159-6340
(352) 633-2105
(888) 897-7367
Mailing address
725 HIGHWAY 466, LADY LAKE, FL 32159
(352) 633-2105
(888) 897-7367
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26009
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004868000
—
FL
01
—
2134594
PK
—
Enumeration date
04/12/2012
Last updated
08/25/2020
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