Apothecary Shop
Organization Active NPI Community/Retail Pharmacy · Lake Wales, FL
NPI 1720093339 · NPPES record last updated Mar 26, 2008
Key facts
- NPI
- 1720093339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- APOTHECARY SHOP
- Practice address
- 437 S 11TH St
Lake Wales, FL 33853-4250 - Phone
- (863) 676-1174
- Fax
- (863) 676-5830
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- James Williams
- Title
- Pharmacist Owner
- Phone
- (863) 676-1174
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH006754 | FL | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
437 S 11TH St
Lake Wales, FL 33853-4250
Mailing address
437 S 11TH St
Lake Wales, FL 33853-4250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3131 | Other | FL | BCBS OF FLORIDA |
| 1013553 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other providers in Lake Wales, FL
- Vanessa L Alvarado
- American Care of North Florida, Inc.
- Ami Home Health,LLC
- Eduvigia Ancaya
- Angel of God Heart Support Services LLC
- Arcadia Healthcare LLC
- Ian R Arnan
- Brenda Arnold
- Dinesh Kumar Arora
- Ashjon Medical LLC
All providers in Lake Wales, FL · Community/Retail Pharmacy in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.