The Lakes On 41 LLC

NPI #1013714849 in Lutz, Florida

Provider Information

NPI Number
1013714849
Entity Type
Organization
Organization Name
The Lakes On 41 LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Feb 28, 2025
Last Updated
Feb 28, 2025

Practice Location

Address
103 FLAGSHIP DR
City
Lutz
State
Florida
ZIP Code
33549-5409
Phone
(813) 776-1277

Authorized Official

Name
SANDRA GHOBRIAL
Title
PHARMACY MANAGER
Phone
(714) 234-6610

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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