NPI 1124161864

Lake Escape INC

Organisation Community/Retail Pharmacy Burlington, NC

Practice location

Address: 378 W Harden St, Burlington, NC 27215-7516
Phone: (336) 222-9811
Fax: (336) 222-9310
Mailing address: PO Box 1144, Burlington, NC 27216-1144

Authorised official

Name: P David David Smith
Title: President
Phone: (336) 222-9811

Registered specialties (4)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence NC05919 (NC)

Other Pharmacy providers in North Carolina →

Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X

Other Durable Medical Equipment & Medical Supplies providers in North Carolina →

Pharmacy

Suppliers Taxonomy 333600000X

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1124161864
Entity type: Organization
NPI issued: 14 Feb 2007
Record last updated: 5 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.