Organization · Type 2 NPI

Lake Wire Pharmacy Inc

Pharmacy · Lakeland, FL

NPI number 1104983899 Active

Practice location

505 Martin Luther King Jr Ave, Suite 3
Lakeland, FL 33815

Fax (863) 688-0721

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPS18682 (FL)
Pharmacy Primary 333600000XPH10343 (FL)

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1104983899

Lake Wire Pharmacy Inc's National Provider Identifier is 1104983899, issued on Jan 2, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Lakeland, FL. The record was last updated on Sep 11, 2025.