OrganizationActive
Lake Wire Pharmacy Inc
NPI 1104983899 · Pharmacy · Lakeland, FL
Provider details
- NPI number
- 1104983899
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Chorette Dickens, Pharmacy Manager(863) 682-6880
- License
- PS18682 (FL)
Specialties & taxonomies
Suppliers
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 Martin Luther King Jr Ave
Suite 3
Lakeland, FL 33815
Phone: (863) 682-6880
Fax: (863) 688-0721
Street-level locationGet directions
Mailing address
505 Martin Luther King Jr Ave
Lakeland, FL 33815
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.