Provider Demographics
NPI:1740587120
Name:MEDILOT INC
Entity Type:Organization
Organization Name:MEDILOT INC
Other - Org Name:SHERWOOD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACY MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FEMI
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLATUNJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-500-7980
Mailing Address - Street 1:4127 MARINER BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-2469
Mailing Address - Country:US
Mailing Address - Phone:352-835-7937
Mailing Address - Fax:
Practice Address - Street 1:4127 MARINER BLVD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-2469
Practice Address - Country:US
Practice Address - Phone:352-835-7937
Practice Address - Fax:352-835-7938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2011-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH252683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy