Organization
SG PHARMACEUTICALS LLC
Active
Other names
Lake Seminole Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO SALIB (RPH)
(727) 592-4588
Entity
Organization
Contact information
Practice address
13191 STARKEY RD STE 3, LARGO, FL 33773-1438
(727) 592-4588
(727) 592-4541
Mailing address
13191 STARKEY RD STE 3, LARGO, FL 33773-1438
(727) 592-4588
(727) 592-4541
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
29523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156193
PK
—
Enumeration date
11/18/2015
Last updated
03/30/2026
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