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 State
1	3336M0002X	Mail Order Pharmacy
2	333600000X	Pharmacy	FL
3	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1487905840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAGLE PHARMACY LLC

Provider Business Mailing Address
First Line	:	350 EAGLES LANDING DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-2999
Country	:	US
Telephone Number	:	855-748-2663
Fax Number	:	863-279-1293

Provider Business Practice Location Address
First Line	:	350 EAGLES LANDING DR
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-2999
Country	:	US
Telephone Number	:	855-748-2663
Fax Number	:	877-283-9171

Authorized Official
Title or Position	:	VP PHARMACY OPERATIONS
Name	:	KEVIN MICHAEL BISCH
Credential	:
Telephone Number	:	855-748-2663

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	05/08/2026

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Directions to “EAGLE PHARMACY LLC ” Practice Location

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