Provider Demographics
NPI:1972172690
Name:LAKEN PHARMACY LLC
Entity Type:Organization
Organization Name:LAKEN PHARMACY LLC
Other - Org Name:AMERICA'S PHARMACY III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ELDER
Authorized Official - Middle Name:
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:407-479-0033
Mailing Address - Fax:407-479-0037
Practice Address - Street 1:4352 W VINE ST
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6313
Practice Address - Country:US
Practice Address - Phone:407-479-0033
Practice Address - Fax:407-479-0037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy