| NPI | 1306133517 |
|---|---|
| Doing Business As | LAKE NONA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OSMAN HASSAN Office Manager 407-903-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph25571) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |