Lake Escape Inc

Community/Retail Pharmacy Accepts Medicare


  
  378 W Harden St, Burlington
North Carolina, 27215-7516

 336-222-9811    336-222-9310
Lake Escape Inc is a Community/Retail Pharmacy in Burlington, North Carolina. It is located at 378 W Harden St, Burlington and it's customer support contact number is 336-222-9811. The authorized person of Lake Escape Inc is P David David Smith, RPH who is President of the pharmacy and his contact number is 336-222-9811. Active license number of Lake Escape Inc is NC05919 for Community/Retail Pharmacy in North Carolina. Lake Escape Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lake Escape Inc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Lake Escape Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Lake Escape Inc
Type: Community/Retail Pharmacy
Location:378 W Harden St, Burlington,
North Carolina, 27215-7516
Phone:336-222-9811
Fax:336-222-9310
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: P David David Smith
Credentials: RPH
Position: President
Contact Number: 336-222-9811
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number: 1124161864
NPI Enumeration Date: 14 Feb, 2007
NPI Last Update On: 05 Nov, 2008

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Escape Inc are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy NC05919North CarolinaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Compounding Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
0015701MedicaidNorth Carolina
3431246OtherNcpdp Provider Identification Number
Medicare Enrollment:
Lake Escape Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
5294870234O20100302000868Lake Escape IncPART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 1144,
Burlington, North Carolina
Zip: 27216-1144
Phone Number: --
Fax Number: --
Patients can reach Lake Escape Inc at 378 W Harden St, Burlington, North Carolina or can call on customer care at 336-222-9811.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.

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