South Lake Pharmacy

LBN: D.Y.L. Llc
South Lake Pharmacy is an health care organization with primary practice located at 38101 5Th Ave , Zephyrhills FL 33542-4973. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. D.Y.L. Llc can be contacted via phone (813) 395-5667, or through Medrano, Hector A via phone (813) 395-5667.

Contact Information

Primary practice address
38101 5Th Ave Zephyrhills FL 33542-4973
Phone: (813) 395-5667
Fax: (813) 715-2478
Website:
Map and Directions
Authorized official contact:
Name: Medrano, Hector A RPH- PHARM.D.
Phone: (813) 395-5667

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH24899 Florida

Profile Details

NPI number 1700194800
LBN Legal business name D.Y.L. Llc
DBA Doing business as South Lake Pharmacy
Authorized official Medrano, Hector A RPH- PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2010
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700194800 NPPES
Florida MEDICAID 003197900

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