Provider Demographics
NPI:1922601822
Name:LELA PHARMACY LLC
Entity Type:Organization
Organization Name:LELA PHARMACY LLC
Other - Org Name:LELA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GILBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GITAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:210-348-1532
Mailing Address - Street 1:1713 SW MILITARY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1430
Mailing Address - Country:US
Mailing Address - Phone:210-348-1532
Mailing Address - Fax:726-999-8053
Practice Address - Street 1:1713 SW MILITARY DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1430
Practice Address - Country:US
Practice Address - Phone:210-348-1532
Practice Address - Fax:726-999-8053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-21
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy