Provider Demographics
NPI:1003661356
Name:LAKEN PHARMACY LLC
Entity Type:Organization
Organization Name:LAKEN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELDER
Authorized Official - Middle Name:EUCLIDES
Authorized Official - Last Name:SORIA-FERRAS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:941-544-6727
Mailing Address - Street 1:3470 17TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-8906
Mailing Address - Country:US
Mailing Address - Phone:941-955-7700
Mailing Address - Fax:941-955-0800
Practice Address - Street 1:4560 TAMIAMI TRL STE 5
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33980-2954
Practice Address - Country:US
Practice Address - Phone:941-535-2020
Practice Address - Fax:941-353-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-20
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies