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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