MYCELIUM PHARMACY LLC

FT LAUDERDALE, FL
NPI1487252391
Entity TypeOrganization
Authorized ContactDREW LAUTER
Manager/Owner
954-890-1150
Organization Subpart ?No
Primary Taxonomy333600000X Pharmacy
Enumeration Date2020-10-13
Last Update Date2025-08-16
Business Address
MYCELIUM PHARMACY LLC
141 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33334-1623
Phone number: 954-616-5675
Mailing Address
MYCELIUM PHARMACY LLC
141 E COMMERCIAL BLVD
FT LAUDERDALE, FL 33334-1623
Phone number: 954-890-1150
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