Provider Demographics
NPI:1225141807
Name:L & M PHARMACY 2 LLC
Entity Type:Organization
Organization Name:L & M PHARMACY 2 LLC
Other - Org Name:EXPRESS CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:561-756-3257
Mailing Address - Street 1:7040 W PALMETTO PARK RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3407
Mailing Address - Country:US
Mailing Address - Phone:561-620-2611
Mailing Address - Fax:561-620-4999
Practice Address - Street 1:1865 W WOOLBRIGHT RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6321
Practice Address - Country:US
Practice Address - Phone:561-734-1918
Practice Address - Fax:561-734-1909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05028219700Medicaid
FL5295680001Medicare ID - Type UnspecifiedMEDICARE PROV. NO.