Organization
LAKE BUENA VISTA PHARMACY LLC
Active
Organization
LAKE BUENA VISTA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILLAD KAMAL LABIB AYYAD RPH (PHARMACY MANAGER)
(407) 951-4590
Entity
Organization
Contact information
Practice address
13401 BLUE HERON BEACH DR STE 101, ORLANDO, FL 32821-6375
(407) 951-4590
Mailing address
13401 BLUE HERON BEACH DR STE 101, ORLANDO, FL 32821-6375
(407) 951-4590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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