Provider Demographics
NPI:1629204623
Name:LOWLITE INVESTMENTS INC
Entity Type:Organization
Organization Name:LOWLITE INVESTMENTS INC
Other - Org Name:OLYMPIA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOLEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-506-4063
Mailing Address - Street 1:6700 CONROY RD
Mailing Address - Street 2:STE 140
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3500
Mailing Address - Country:US
Mailing Address - Phone:321-319-0310
Mailing Address - Fax:
Practice Address - Street 1:6700 CONROY RD
Practice Address - Street 2:STE 140
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3500
Practice Address - Country:US
Practice Address - Phone:321-319-0310
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH240803336C0003X
3336C0004X, 3336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1045930OtherNCPDP PROVIDER IDENTIFICATION NUMBER