Organization
SOL LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRES BENEROSO (DIRECTOR OF PHARMACY)
(813) 465-0755
Entity
Organization
Contact information
Practice address
4002 PARK ST N, SAINT PETERSBURG, FL 33709
(727) 287-0941
(727) 287-0938
Mailing address
4002 PARK ST N, SAINT PETERSBURG, FL 33777
(813) 465-0755
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
03/11/2025
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