Organization
MYCELIUM PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DREW LAUTER (MANAGER/OWNER)
(954) 890-1150
Entity
Organization
Contact information
Practice address
141 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1623
(954) 616-5675
Mailing address
141 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33334-1623
(954) 890-1150
(954) 393-0670
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/13/2020
Last updated
08/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us