Organization · NPI-2

Evercare INC

Pharmacy, Community/Retail Pharmacy · Lakeland, FL

NPI number1841577640
StatusActive
Last updated in NPPESMay 15, 2025

Details

NPI
1841577640
Entity type
Organization (NPI-2)
Legal business name
Evercare INC
Organization subpart
No
Enumeration date
Nov 8, 2011
Certification date
May 15, 2025
Last updated
May 15, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyPH25644FLYes
332B00000X Durable Medical Equipment & Medical Supplies––
3336L0003X Pharmacy, Long Term Care Pharmacy––

Other names

  • Supreme Rx Pharmacy (Doing Business As)

Practice location

1611 N Florida Ave
Lakeland, FL 33805-3107

Phone 863-940-4733 · Fax 863-940-4734

Mailing address

Po Box 90014
Lakeland, FL 33804-0014

Phone 863-940-4733 · Fax 863-940-4734

Authorized official

Israel Enechukwu
President
8639404733

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