| NPI | 1508952524 |
|---|---|
| Doing Business As | LAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHARLIE D. ADKISON Administrator 352-357-4341 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 228) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 0414010001) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-03-07 |