Laken Pharmacy LLC
Pharmacy, Community/Retail Pharmacy in Port Charlotte, FL. Organization (NPI-2).
NPI number1003661356
StatusActive
Last updated in NPPESApr 20, 2024
Details
- NPI
- 1003661356
- Entity type
- Organization (NPI-2)
- Legal business name
- Laken Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2024
- Certification date
- Apr 20, 2024
- Last updated
- Apr 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- America'S Pharmacy IV (Doing Business As)
Practice location
4560 Tamiami Trl Ste 5Port Charlotte, FL 33980-2954
Phone 941-535-2020 · Fax 941-353-2010
Mailing address
3470 17th StSarasota, FL 34235-8906
Phone 941-955-7700 · Fax 941-955-0800
Authorized official
Elder Euclides Soria-Ferras
Pharmacist/Owner
9415446727
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