Lake Wire Pharmacy Inc
NPI 1104983899ActiveOrganization· Pharmacy· Lakeland, FL
Pharmacy in Lakeland, Florida, registered in NPPES in January 2007. The authorized official on file is Chorette Bennett Dickens, R PH PHARM D, Pharmacy Manager.
Overview
| NPI | 1104983899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PH10343 | FL |
| Pharmacist | 183500000X | PS18682 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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