Healthcare Provider Details

I. General information

NPI: 1326088725
Provider Name (Legal Business Name): L&M PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7040 W PALMETTO PARK RD SUITE 12
BOCA RATON FL
33433-3407
US

IV. Provider business mailing address

7040 W PALMETTO PARK RD SUITE 12
BOCA RATON FL
33433-3407
US

V. Phone/Fax

Practice location:
  • Phone: 561-620-2611
  • Fax: 561-620-4999
Mailing address:
  • Phone: 561-620-2611
  • Fax: 561-620-4999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number4571720001
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH18739
License Number StateFL

VIII. Authorized Official

Name: MR. MARK JAY RUBIN
Title or Position: PRESIDENT
Credential: RPH
Phone: 561-620-2611