<Unavail>

LBN: Lake Town Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 2020 Cr N 470 Unit B , Lake Panasoffkee FL 33538. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lake Town Pharmacy Llc can be contacted via phone (352) 444-2055, or through Mani, Rajasekaran via phone (239) 246-0796.

Contact Information

Primary practice address
2020 Cr N 470 Unit B Lake Panasoffkee FL 33538
Phone: (352) 444-2055
Fax: (352) 569-4768
Website:
Map and Directions
Authorized official contact:
Name: Mani, Rajasekaran
Phone: (239) 246-0796

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH28934 Florida

Profile Details

NPI number 1093186546
LBN Legal business name Lake Town Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Mani, Rajasekaran
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2015
Last updated Sep 24th, 2021 - about 5 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 1093186546 NPPES
Other 2154679 PK
MEDICAID 016675400 PK

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