Organization · NPI-2

Baycare Urgent Care, LLC

Pharmacy, Community/Retail Pharmacy · Lakeland, FL

NPI number1073147849

StatusActive

Last updated in NPPESMar 2, 2020

Details

NPI: 1073147849
Entity type: Organization (NPI-2)
Legal business name: Baycare Urgent Care, LLC
Organization subpart: No
Enumeration date: Mar 2, 2020
Certification date: Mar 2, 2020
Last updated: Mar 2, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes

Practice location

2645 S Florida Ave
Lakeland, FL 33803-3829

Phone 863-606-6880 · Fax 863-229-7592

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Phone 727-281-9390 · Fax 813-635-2613

Authorized official

Lynda Gorken
Vp, Pfs
7272819390

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