| NPI | 1497099055 |
|---|---|
| Doing Business As | LAKEWALES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GOPIKA TRIVEDI Owner 863-676-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26509) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2017-02-21 |