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Organization
THE LAKES ON 41 LLC
Active
Organization
THE LAKES ON 41 LLC
Active
Other names
The lakes pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA GHOBRIAL (PHARMACY MANAGER)
(714) 234-6610
Entity
Organization
Contact information
Practice address
103 FLAGSHIP DR, LUTZ, FL 33549-5409
(813) 776-1277
(813) 776-1551
Mailing address
103 FLAGSHIP DR, LUTZ, FL 33549-5409
(813) 776-1277
(813) 776-1551
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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