| Organization Name: | SUN AND LAKE PHARMACY SERVICES, INC |
| NPI Number: | 1306982913 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KWAME FOSU (OWNER PHARMACIST) |
| Mailing Address: | 1231 Lakeland Hills Blvd Lakeland |
| State: | FL US |
| Postal Code: | 338054673 |
| Phone Number: | 8636885427 |
| Fax Number: | 8636885462 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 05/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 333600000X |
| License Number: | BP121476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | |
| Taxonomy 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. |