| NPI | 1467633206 |
|---|---|
| Doing Business As | SANDLAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BOLAJI ADISA Pharmacy Manager 407-963-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 23047) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |