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

Providence Pharmacy LLC

Organization Pharmacy · NPI 1568891125

Providence Pharmacy LLC is a Pharmacy in Lakeland, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5515 US Highway 98 N Ste 1
Lakeland, FL 33809-3133
Phone: (863) 937-8092
Fax: (863) 937-8093
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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 PH27055 (FL)
Pharmacy Taxonomy 333600000X

Record details

NPI number1568891125
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Asante — Pharmacist · (863) 937-8092
Other names Providence Pharmacy
NPI enumeratedNovember 4, 2013
Last updated in NPPESJanuary 20, 2017
Mailing address7774 Canterbury Cir, Lakeland, FL 33810-3408

Other providers in Lakeland