Organization
LINCOURT COMPOUNDING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS F LADSON R.PH (PRESIDENT)
(727) 479-3046
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE, SUITE 23, CLEARWATER, FL 33756-5945
(727) 479-3046
Mailing address
501 S LINCOLN AVE, SUITE 23, CLEARWATER, FL 33756-5945
(727) 479-3046
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH24418
FL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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