NPI | 1467633206 |
---|---|
Doing Business As | SANDLAKE PHARMACY |
Entity Type | Organization |
Authorized Contact | TOPE KASSIM MABIFA Pharmacist/Owner 407-351-8002 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH 23047) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2025-07-24 |