MEDICARE: L & M PHARMACY 2 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225141807
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & M PHARMACY 2 LLC

Provider Business Mailing Address
First Line	:	7040 W PALMETTO PARK RD
Second Line	:	SUITE 12
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3407
Country	:	US
Telephone Number	:	561-620-2611
Fax Number	:	561-620-4999

Provider Business Practice Location Address
First Line	:	1865 W WOOLBRIGHT RD
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6321
Country	:	US
Telephone Number	:	561-734-1918
Fax Number	:	561-734-1909

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK JAY RUBIN
Credential	:	RPH
Telephone Number	:	561-756-3257

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	08/22/2020

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Directions to “L & M PHARMACY 2 LLC ” Practice Location

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