LAKE PLACID DRUG CO. NPI 1790784346

NPI Information

  • NPI: 1790784346
  • Provider Name: LAKE PLACID DRUG CO.
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Address: 224 E INTERLAKE BLVD
    LAKE PLACID, FL
    ZIP 33852
  • Phone: (863) 465-2751

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NPI Details

LAKE PLACID DRUG CO. is a pharmacist in Lake Placid, FL. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. LAKE PLACID DRUG CO. NPI is 1790784346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 E INTERLAKE BLVD
LAKE PLACID, FL
ZIP 33852-603
Phone: (863) 465-2751
Fax: (863) 465-3977

The provider's authorized official is Charles D. Stidham .
The authorized official title is Owner/pharmacist and has the following contact phone number (863) 465-2291.

The enumeration date for this NPI number is 7/16/2005 and was last updated on 8/22/2020.

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
1183500000XPharmacistPH659FLORIDAYes

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: 11/21/2025

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