Provider Demographics
NPI:1780717769
Name:L & B PHARMACY, INC.
Entity type:Organization
Organization Name:L & B PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:L
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-220-7909
Mailing Address - Street 1:8030 NW 103RD STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HIALEAH GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:877-220-7909
Mailing Address - Fax:877-220-7909
Practice Address - Street 1:8030 NW 103RD STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:HIALEAH GARDEN
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:877-220-7909
Practice Address - Fax:877-220-7909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH225193336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy