Organization
JK SERVICES OF SARASOTA LLC
Active
Other names
Lakewood Ranch Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK PIREAUX (OWNER)
(941) 356-0955
Entity
Organization
Contact information
Practice address
6310 HEALTH PARK WAY, STE 130, LAKEWOOD RANCH, FL 34202-5177
(941) 907-1500
(941) 907-1544
Mailing address
6310 HEALTH PARK WAY, STE 130, LAKEWOOD RANCH, FL 34202-5177
(941) 907-1500
(941) 907-1544
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23882
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2119089
PK
—
Enumeration date
02/19/2009
Last updated
03/12/2015
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