Tommy L Louisville Md Pa is not a DME supplier for medicare equipments and products.
Tommy L Louisville Md Pa is a Non-pharmacy Dispensing Site in Lakeland, Florida. This organization is also known as sub part of Medvantx, Inc.. It is located at 1801 Crystal Lake Dr, Lakeland and it's customer support contact number is 863-937-8886. The authorized person of Tommy L Louisville Md Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Tommy L Louisville Md Pa is ME46305 for Non-pharmacy Dispensing Site in Florida. Tommy L Louisville Md Pa is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Tommy L Louisville Md Pa 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:
Tommy L Louisville Md Pa
Type:
Non-pharmacy Dispensing Site
Location:
1801 Crystal Lake Dr, Lakeland, Florida, 33801-5979
Phone:
863-937-8886
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:
Kenny Heine
Position:
Vp Of Operations
Contact Number:
858-964-1506
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:
1295143295
Parent Organization:
Medvantx, Inc.
NPI Enumeration Date:
23 Jul, 2014
NPI Last Update On:
23 Jul, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tommy L Louisville Md Pa are as mentioned below.
Specialization
License Number
State
Status
Non-pharmacy Dispensing Site
ME46305
Florida
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5626 Oberlin Dr, Suite 110 San Diego, California
Zip:
92121-1705
Phone Number:
--
Fax Number:
--
Patients can reach Tommy L Louisville Md Pa at 1801 Crystal Lake Dr, Lakeland, Florida or can call on customer care at 863-937-8886.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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