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LAKE WALES PHARMACY
NPI 1629502141
Pharmacy in Lake Wales, FL

Active since April 12, 2017
1322 STATE ROAD 60 E, LAKE WALES, FL 33853(863) 676-0400(863) 676-0445 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lake Wales Pharmacy NPPES

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

LAKE WALES PHARMACY (NPI 1629502141) is a healthcare organization registered as a pharmacy in Lake Wales, Florida and active in the NPI registry since April 2017. The organization lists Gopika Trivedi, Owner, as its authorized official.

NPPES Registry Identity

NPI1629502141
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameGIRIRIAJ LLC
Location Address1322 STATE ROAD 60 ELake Wales, FL 33853-4322
Mailing Address1322 State Road 60 ELake Wales, FL 33853-4322 · (863) 676-0400 · Fax (863) 676-0445
Phone(863) 676-0400
Fax(863) 676-0445
Organization SubpartNo
Authorized OfficialGopika TrivediOwner · (863) 676-0400
Enumeration DateApril 12, 2017
✔ NPI 1629502141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in FL · PH26509
Definition
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 located.
1322 STATE ROAD 60 E, Lake Wales, FL 33853
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Other Names 1

Doing Business AsLake Wales Pharmacy

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIRIRAJ LLC
Pharmacy (Community/Retail Pharmacy)
1322 STATE ROAD 60 E
LAKE WALES, FL 33853
Polk County (863) 676-0400

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 Giririaj LLC's NPI number?

The NPI number for Giririaj LLC is 1629502141. It was assigned to this organization in the NPPES registry on April 12, 2017. The provider is doing business as Lake Wales Pharmacy.

Where is Giririaj LLC located?

Giririaj LLC is located at 1322 State Road 60 E, Lake Wales, FL 33853. The listed phone number is (863) 676-0400.

What is Giririaj LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Giririaj LLC was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.