Organization
D.Y.L. LLC
Active
Other names
South Lake Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR A MEDRANO RPH- PHARM.D. (OWNER- MANAGING MEMBER)
(813) 395-5667
Entity
Organization
Contact information
Practice address
38101 5TH AVE, ZEPHYRHILLS, FL 33542-4973
(813) 395-5667
(813) 715-2478
Mailing address
38101 5TH AVE, ZEPHYRHILLS, FL 33542-4973
(813) 395-5667
(813) 715-2478
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH24899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003197900
—
FL
Enumeration date
09/22/2010
Last updated
07/21/2022
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