The Lakes On 41 LLC

NPI #1760202394 in Lutz, Florida

Provider Information

NPI Number
1760202394
Entity Type
Organization
Organization Name
The Lakes On 41 LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 17, 2024
Last Updated
Nov 12, 2024

Practice Location

Address
103 FLAGSHIP DR
City
Lutz
State
Florida
ZIP Code
33549-5409
Phone
(410) 292-6965

Authorized Official

Name
SANDRA GHOBRIAL
Title
OWNER
Phone
(714) 234-6610

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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