Organization
LVK MANAGEMENT LLC
Active
Other names
Sivan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIVAN LAM PHARM.C (MANAGER)
(239) 219-2513
Entity
Organization
Contact information
Practice address
4689 PINE ISLAND RD NW, MATLACHA, FL 33993-9706
(239) 219-2513
Mailing address
74 ALICIA RD, DORCHESTER, MA 02124-4738
(239) 219-2513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
NONE
FL
Enumeration date
04/24/2019
Last updated
11/27/2023
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