Lantana Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23129 Issued in FL

Legal business name

LANTANA PHARMACY

Practice address

3206 Lantana Road
Lantana, FL 33462-2432

Phone

(561) 964-7614

Fax

(561) 964-7615

NPI assigned

Oct 24, 2012

Last updated

Oct 24, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Wilson, MBA

Title

President

Phone

(561) 964-7614

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1700139003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 LANTANA ROAD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622432",
            "telephone_number": "561-964-7614",
            "fax_number": "561-964-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 LANTANA ROAD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334622432",
            "telephone_number": "561-964-7614",
            "fax_number": "561-964-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTANA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-7614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher La Tourette La Riche, M.D.
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• Lantana Alf Inc (Atlantis Assisted Living)
• Lantana Detox Center
• Lantana Diagnostic Services LLC
• Lantana Wellness
• Nasser Lavaud
• Lawrence J Bentvena DC PA (Midcounty Chiropractic & Rehabilitation Clinic)
• LCV Home Care Professionals (Valerie's Place Assisted Living Facility)
• Renee M. Leimgruber, PT

• Community/Retail Pharmacy in Lantana, FL
• Providers in Lantana, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.