Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eagle Lake Pharmacy Inc

Organization Pharmacy · NPI 1023374063

Eagle Lake Pharmacy Inc is a Pharmacy in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5245 A U S Hwy 98 N Ste A
Lakeland, FL 33809
Phone: (863) 937-7992
Fax: (863) 937-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH25608 (FL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1023374063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Polycarp Agbara — Owner · (863) 738-8002
Other names Eagle Lake Pharmacy
NPI enumeratedApril 4, 2012
Last updated in NPPESNovember 23, 2016
Mailing address5245 A U S Hwy 98 N, Suite A, Lakeland, FL 33809

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