Organization · NPI-2
Corexa Pharmacy LLC
Pharmacy, Community/Retail Pharmacy · Lakeland, FL
NPI number1982900981
StatusActive
Last updated in NPPESJul 22, 2026
Details
- NPI
- 1982900981
- Entity type
- Organization (NPI-2)
- Legal business name
- Corexa Pharmacy LLC
- Organization subpart
- Yes
- Enumeration date
- Feb 8, 2011
- Certification date
- Jul 22, 2026
- Last updated
- Jul 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PH25226 | FL | Yes |
| 333600000X | Pharmacy | – | – | |
| 3336S0011X | Pharmacy, Specialty Pharmacy | – | – |
Other names
- Corexa Hub (Doing Business As)
Practice location
354 Eagles Landing Dr.Lakeland, FL 33810
Phone 727-896-0001 · Fax 727-896-0002
Mailing address
354 Eagles Landing DrLakeland, FL 33810-2999
Phone 727-896-0001 · Fax 727-896-0002
Authorized official
Nikul R Panchal
Pic/Svp Of Pharmacy
8134827700
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