Organization
MEDLAB PHARMACY INC
Active
Organization
MEDLAB PHARMACY INC
Active
Other names
MedLab Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA GAYLE PHARMD (PHARMACIST)
(954) 400-0560
Entity
Organization
Contact information
Practice address
7300 W MCNAB RD STE 112, TAMARAC, FL 33321-5329
(954) 400-0560
(950) 606-5260
Mailing address
7300 W MCNAB RD STE 112, TAMARAC, FL 33321-5329
(954) 400-0560
(954) 606-5260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30893
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170922
PK
—
Enumeration date
08/09/2017
Last updated
12/23/2019
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