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Organization

LBG HOLDINGS LLC

Active
Other names
One Good Pharmacist
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY HOWARD (PHARMACY MANAGER)
(407) 929-2552
Entity
Organization

Contact information

Practice address
2864 W MAIN ST, LEESBURG, FL 34748-4631
(352) 315-1200
(352) 315-1201
Mailing address
PO BOX 621255, OVIEDO, FL 32762-1255
(352) 315-1200
(352) 315-1201

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0002X
Clinic Pharmacy
Primary
PH30115
FL
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
3336M0002X
Mail Order Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008795700
FL
01
2144404
PK
Enumeration date
11/08/2012
Last updated
11/15/2016
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