Lake Town Pharmacy LLC
NPI #1093186546 in Lake Panasoffkee, Florida
Provider Information
- NPI Number
- 1093186546
- Entity Type
- Organization
- Organization Name
- Lake Town Pharmacy LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 9, 2015
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 2020 CR N 470 UNIT B
- City
- Lake Panasoffkee
- State
- Florida
- ZIP Code
- 33538
- Phone
- (352) 444-2055
Authorized Official
- Name
- RAJASEKARAN MANI
- Title
- OWNER, AO, PHCY MANAGER, PIC
- Phone
- (239) 246-0796
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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