Healthcare Provider Details

I. General information

NPI: 1629204623
Provider Name (Legal Business Name): LOWLITE INVESTMENTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2009
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 CONROY RD STE 140
ORLANDO FL
32835-3500
US

IV. Provider business mailing address

6700 CONROY RD STE 140
ORLANDO FL
32835-3500
US

V. Phone/Fax

Practice location:
  • Phone: 321-319-0310
  • Fax:
Mailing address:
  • Phone: 321-319-0310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24080
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARCO LOLEIT
Title or Position: PRESIDENT
Credential:
Phone: 407-506-4063