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LAKELAND FAMILY PHARMACY NPI 1568848026


NPI Information

NPI: 1568848026
Provider Name: LAKELAND FAMILY PHARMACY

Doing Business As: LAKELAND FAMILY PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2257299

Address:
3655 INNOVATION DR
LAKELAND, FL
ZIP 33812
Phone: (863) 644-5415
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LAKELAND FAMILY PHARMACY is a community/retail pharmacy pharmacy in Lakeland, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LAKELAND FAMILY PHARMACY NPI is 1568848026. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeland Family Pharmacy.

The provider's business location address is:

3655 INNOVATION DR
LAKELAND, FL
ZIP 33812-106
Phone: (863) 644-5415
Fax: (863) 644-2915

The provider's authorized official is Timothy Clay .
The authorized official title is Managing Partner and has the following contact phone number (863) 619-5269.

The CLIA number assigned to this NPI record is 10D2257299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2015 and was last updated on 8/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPH29146FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12153464OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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