Provider Demographics
NPI:1326088725
Name:L&M PHARMACY INC
Entity Type:Organization
Organization Name:L&M PHARMACY INC
Other - Org Name:EXPRESS CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
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:561-620-2611
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 1:7040 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 12
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3407
Practice Address - Country:US
Practice Address - Phone:561-620-2611
Practice Address - Fax:561-620-4999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4571720001332BC3200X
FLPH187393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4571720001Medicare ID - Type UnspecifiedPHARMACY/DME