NPI | 1093529315 |
---|---|
Doing Business As | LACSON MD COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | JANICE CROSKERY Authorized Official/ Employee 863-385-6700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-02-21 |