Organization
LAKEVIEW CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY STEVEN FLETCHER PHARM.D. (DIRECTOR OF PHARMACY)
(850) 469-3719
Entity
Organization
Contact information
Practice address
1201 W HERNANDEZ ST, PENSACOLA, FL 32501-1815
(850) 469-3719
(850) 595-1412
Mailing address
1201 W HERNANDEZ ST, PENSACOLA, FL 32501-1815
(850) 469-3719
(850) 595-1412
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031722500
—
FL
Enumeration date
01/05/2021
Last updated
01/05/2021
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