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

Lake Wire Pharmacy Inc

Organization Pharmacist · NPI 1104983899

Lake Wire Pharmacy Inc is a Pharmacist in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

505 Martin Luther King Jr Ave Ste 3
Lakeland, FL 33815
Phone: (863) 682-6880
Fax: (863) 688-0721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence PH10343 (FL)
Pharmacist Taxonomy 183500000X · Licence PS18682 (FL)

Record details

NPI number1104983899
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chorette Dickens — Pharmacy Manager · (863) 682-6880
NPI enumeratedJanuary 2, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address505 Martin Luther King Jr Ave, Suite 3, Lakeland, FL 33815

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