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NPI 1013714849

OrganizationActive

The Lakes on 41 LLC

NPI 1013714849 · Compounding Pharmacy · Lutz, FL

Provider details

NPI number: 1013714849
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Authorized official: Sandra Ghobrial, Pharmacy Manager

Practice location

103 Flagship Dr

Lutz, FL 33549-5409

Phone: (813) 776-1277

Fax: (813) 776-1551

More FL providers

Mailing address

103 Flagship Dr

Lutz, FL 33549-5409

Registry dates

Enumerated: 2025-02-28
Last updated: 2025-02-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

The Lakes on 41 LLC — NPI 1013714849, Lutz, FL | NPI Central