MEDICARE: EAGLE PHARMACY 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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1104785112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE PHARMACY LLC

Provider Business Mailing Address
First Line	:	1 HEALTHCARE WAY
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5400
Country	:	US
Telephone Number	:	833-819-0923
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 EAGLES LANDING DR STE 250
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-3041
Country	:	US
Telephone Number	:	833-819-0923
Fax Number	:

Authorized Official
Title or Position	:	VP PHARMACY OPERATIONS
Name	:	KEVIN MICHAEL BISCH
Credential	:
Telephone Number	:	833-819-0923

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	05/04/2026

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Directions to “EAGLE PHARMACY LLC ” Practice Location

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