Lake Holiday Drugs Inc
Pharmacy
10064 N 600 E, Demotte
Indiana, 46310-8536
219-345-2200 219-345-2411
Lake Holiday Drugs Inc is a Pharmacy in Demotte, Indiana. It is located at 10064 N 600 E, Demotte and it's customer support contact number is 219-345-2200. The authorized person of Lake Holiday Drugs Inc is Connie Coffer who is 3rd Party Coord of the pharmacy and his contact number is 219-987-6468. Lake Holiday Drugs Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Lake Holiday Drugs Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Lake Holiday Drugs 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 Holiday Drugs Inc |
| Type: | Pharmacy |
| Location: | 10064 N 600 E, Demotte,
Indiana, 46310-8536 |
| Phone: | 219-345-2200 |
| Fax: | 219-345-2411 |
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: | Connie Coffer |
| Position: | 3rd Party Coord |
| Contact Number: | 219-987-6468 |
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: | 1942221262 |
| NPI Enumeration Date: | 21 Jul, 2006 |
| NPI Last Update On: | 04 Apr, 2018 |
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 Holiday Drugs Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
Medicare Enrollment:
Lake Holiday Drugs 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 Name | Medicare Entity Type |
| 2163517319 | O20071002000826 | Lake Holiday Drugs Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 2163517319 | O20100930002151 | Lake Holiday Drugs Inc | DME SUPPLIER - PHARMACY |
Products Available:
Lake Holiday Drugs Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Diabetic Shoes & Inserts: Prefabricated | • Enteral Equipment And/or Supplies |
| • Enteral Nutrients | • Heat & Cold Applications |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Ostomy Supplies |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
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 662, 915 S Halleck
Demotte, Indiana |
| Zip: | 46310-0662 |
| Phone Number: | 219-987-6468 |
| Fax Number: | 219-987-7226 |
Patients can reach Lake Holiday Drugs Inc at
10064 N 600 E, Demotte, Indiana or can
call on customer care at 219-345-2200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.