Providence Pharmacy Llc
Community/Retail Pharmacy
5515 Us Highway 98 N Ste 1, Lakeland
Florida, 33809-3133
863-937-8092 863-937-8093
Providence Pharmacy Llc is a Community/Retail Pharmacy in Lakeland, Florida. It is located at 5515 Us Highway 98 N Ste 1, Lakeland and it's customer support contact number is 863-937-8092. The authorized person of Providence Pharmacy Llc is Edwin Asante who is Pharmacist of the pharmacy and his contact number is 863-937-8092. Active license number of Providence Pharmacy Llc is PH27055 for Community/Retail Pharmacy in Florida.
Providence Pharmacy Llc 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:
Providence Pharmacy Llc 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: | Providence Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 5515 Us Highway 98 N Ste 1, Lakeland,
Florida, 33809-3133 |
| Phone: | 863-937-8092 |
| Fax: | 863-937-8093 |
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: | Edwin Asante |
| Position: | Pharmacist |
| Contact Number: | 863-937-8092 |
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: | 1568891125 |
| NPI Enumeration Date: | 04 Nov, 2013 |
| NPI Last Update On: | 20 Jan, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH27055 | Florida | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2143281 | Other | | Pk |
| 010969100 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7774 Canterbury Cir,
Lakeland, Florida |
| Zip: | 33810-3408 |
| Phone Number: | 863-255-8777 |
Patients can reach Providence Pharmacy Llc at
5515 Us Highway 98 N Ste 1, Lakeland, Florida or can
call on customer care at 863-937-8092.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.