LAKE PLACID PHARMACY INC
224 E Interlake Blvd
Lake Placid, FL 33852
863-385-5588
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | FL | PH21893 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
031423400 | FL | MEDICAID | |
OTHER ID NUMBER | 1021031 | OTHER | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1021031 | OTHER |