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

Lane Avenue Pharmacy Inc

Organization Community/Retail Pharmacy · NPI 1427233584

Lane Avenue Pharmacy Inc is a Community/Retail Pharmacy in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

1233 Lane Ave S Ste 9
Jacksonville, FL 32205-6284
Phone: (904) 693-6633
Fax: (904) 693-6684
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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 PH23097 (FL)

Record details

NPI number1427233584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Felix Obasuyi — Owner / Pharmacist · (904) 693-6633
Other names Lane Avenue Pharmacy
NPI enumeratedJanuary 8, 2008
Last updated in NPPESJune 14, 2010
Mailing address2595 Watermill Dr, Orange Park, FL 32073-1621

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