Healthcare Provider Details

I. General information

NPI: 1699670711
Provider Name (Legal Business Name): MYERLAKE LABS LLC DBA PHARMALABS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14440 MYERLAKE CIR FL 33760
CLEARWATER FL
33760-2813
US

IV. Provider business mailing address

14440 MYERLAKE CIR FL 33760
CLEARWATER FL
33760-2813
US

V. Phone/Fax

Practice location:
  • Phone: 727-748-0999
  • Fax:
Mailing address:
  • Phone: 727-748-0999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: YOUSSEF ISKANDAR
Title or Position: DIRECTOR OF PHARMACY
Credential:
Phone: 818-331-9783