# IKA3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LANCASTER SPECIALTY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609605310
- **Authorized official:** MOHIT KESHUBHAI DHOLARIA PHARMD (MANAGER)
- **Authorized official phone:** (817) 945-5405

## Contact information

- **Practice address:** 2532 OAKLAND BLVD, FORT WORTH, TX 76103-3235
- **Practice address phone:** (817) 945-5405
- **Practice address fax:** (817) 945-5554
- **Mailing address:** 2532 OAKLAND BLVD, FORT WORTH, TX 76103-3235
- **Mailing address phone:** (817) 945-5405
- **Mailing address fax:** (817) 945-5554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2024
- **Last updated:** 07/31/2024