| NPI | 1548813322 |
|---|---|
| Doing Business As | LAKELAND PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIRISHA PAVULURI Owner 903-375-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-11-14 |