# L&R LAX, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LR Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538449707
- **Authorized official:** VIPUL PATEL PHARMD (OWNER)
- **Authorized official phone:** (803) 289-0000

## Contact information

- **Practice address:** 1755 AIRPORT RD STE 100, LANCASTER, SC 29720-4800
- **Practice address phone:** (803) 289-0000
- **Practice address fax:** (803) 289-0001
- **Mailing address:** 1755 AIRPORT RD, SUITE 100, LANCASTER, SC 29720-3896
- **Mailing address phone:** (803) 289-0000
- **Mailing address fax:** (803) 289-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 13452 | SC | Yes |

## Other

- **Enumeration date:** 08/19/2011
- **Last updated:** 12/31/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2131593 | PK | — |