Organization
LEAVITT PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MORELL (TREASURER / SECRETARY)
(407) 875-2080
Entity
Organization
Contact information
Practice address
187 SABAL PALM DR, SUITE 102, LONGWOOD, FL 32779-2595
(407) 478-2799
(407) 478-2798
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22020
FL
Other
Enumeration date
06/30/2006
Last updated
08/22/2020
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