Lake Ella Pharmacy
NPI #1407199169 in Tallahassee, Florida
Provider Information
- NPI Number
- 1407199169
- Entity Type
- Organization
- Organization Name
- Lake Ella Pharmacy
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 1, 2013
- Last Updated
- Dec 27, 2016
Practice Location
- Address
- 2525 S MONROE ST STE 6
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32301-6353
- Phone
- (850) 727-8736
Authorized Official
- Name
- SAMUEL MENSAH-MAMFO
- Title
- OWNER / PIC
- Phone
- (850) 284-4660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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