Organization
LAKE BUTLER PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINESH A PATEL (OWNER)
(386) 291-7007
Entity
Organization
Contact information
Practice address
610 SW 1ST ST, LAKE BUTLER, FL 32054-1505
(386) 291-7007
(386) 291-7017
Mailing address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 291-7007
(386) 291-7017
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
04/26/2024
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