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EAGLE LAKE PHARMACY
NPI 1023374063
Pharmacy - Community/Retail Pharmacy in Lakeland, FL

Active since April 04, 2012
5245 A U S HWY 98 N, SUITE A, LAKELAND, FL 33809(863) 937-7992(863) 937-7994 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2016, Nov 2, 2016 (2 updates tracked since 2016).

About Eagle Lake Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLE LAKE PHARMACY (NPI 1023374063) is a healthcare organization registered as a community/retail pharmacy in Lakeland, Florida and active in the NPI registry since April 2012. The organization lists Polycarp Agbara, Owner, as its authorized official.

NPPES Registry Identity

NPI1023374063
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEAGLE LAKE PHARMACY INC
Location Address5245 A U S HWY 98 N, SUITE ALakeland, FL 33809
Mailing Address5245 A U S Hwy 98 N, Suite ALakeland, FL 33809 · (863) 937-7992 · Fax (863) 937-7994
Phone(863) 937-7992
Fax(863) 937-7994
Organization SubpartNo
Authorized OfficialPolycarp AgbaraOwner · (863) 738-8002
Enumeration DateApril 4, 2012
Last NPPES UpdateNovember 23, 20162 updates tracked since enumeration
✔ NPI 1023374063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in FL · PH25608
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
5245 A U S HWY 98 N, Lakeland, FL 33809
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Other Names 1

Doing Business AsEagle Lake Pharmacy

Other Identifiers 2

Other2134900Pk
Medicaid004712900FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagle Lake Pharmacy Inc's NPI number?

The NPI number for Eagle Lake Pharmacy Inc is 1023374063. It was assigned to this organization in the NPPES registry on April 4, 2012. The provider is doing business as Eagle Lake Pharmacy.

Where is Eagle Lake Pharmacy Inc located?

Eagle Lake Pharmacy Inc is located at 5245 A U S Hwy 98 N Suite A, Lakeland, FL 33809. The listed phone number is (863) 937-7992.

What is Eagle Lake Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Eagle Lake Pharmacy Inc was last updated on November 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.