Organization
L&R LAX, LLC
Active
Other names
LR Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIPUL PATEL PHARMD (OWNER)
(803) 289-0000
Entity
Organization
Contact information
Practice address
1755 AIRPORT RD STE 100, LANCASTER, SC 29720-4800
(803) 289-0000
(803) 289-0001
Mailing address
1755 AIRPORT RD, SUITE 100, LANCASTER, SC 29720-3896
(803) 289-0000
(803) 289-0001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131593
PK
—
Enumeration date
08/19/2011
Last updated
12/31/2018
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