Big Lake Pharmacy

LBN: Big Lake Pharmacy Inc
Big Lake Pharmacy is an health care organization with primary practice located at 203 Sw Park St Ste B, Okeechobee FL 34972-4160. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Big Lake Pharmacy Inc can be contacted via phone (863) 763-1339, or through Nelson, Steven via phone (863) 634-4002.

Contact Information

Primary practice address
203 Sw Park St Ste B Okeechobee FL 34972-4160
Phone: (863) 763-1339
Fax: (863) 763-1487
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Steven RPH/CPH
Phone: (863) 634-4002

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X PH18708 Florida
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1023098803
LBN Legal business name Big Lake Pharmacy Inc
DBA Doing business as Big Lake Pharmacy
Authorized official Nelson, Steven RPH/CPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2006
Last updated Oct 9th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023098803 NPPES
Florida MEDICAID 031557500
Florida Other 1096785

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