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HEARTLAND PHARMACY LAKE PLACID NPI 1811233430


NPI Information

NPI: 1811233430
Provider Name: HEARTLAND PHARMACY LAKE PLACID

Doing Business As: HEARTLAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
342 E ROYAL PALM ST
LAKE PLACID, FL
ZIP 33852
Phone: (863) 659-1780
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HEARTLAND PHARMACY LAKE PLACID is a community/retail pharmacy pharmacy in Lake Placid, 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. HEARTLAND PHARMACY LAKE PLACID NPI is 1811233430. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Pharmacy.

The provider's business location address is:

342 E ROYAL PALM ST
LAKE PLACID, FL
ZIP 33852-019
Phone: (863) 659-1780
Fax: (863) 659-1786

The provider's authorized official is Carin Bralts .
The authorized official title is Owner/president and has the following contact phone number (863) 449-1006.

The enumeration date for this NPI number is 12/31/2012 and was last updated on 3/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPH26570FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12138527OTHERPK
2008053900MEDICAIDFLORIDA

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: 4/28/2024

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