Healthcare Provider Details

I. General information

NPI: 1093675787
Provider Name (Legal Business Name): LAKEN PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11109 W COLONIAL DR
OCOEE FL
34761-2935
US

IV. Provider business mailing address

3470 17TH ST
SARASOTA FL
34235-8906
US

V. Phone/Fax

Practice location:
  • Phone: 407-554-2110
  • Fax: 407-554-2111
Mailing address:
  • Phone: 941-544-6727
  • Fax: 941-955-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ELDER EUCLIDES SORIA-FERRAS
Title or Position: OWNER/PHARMACIST
Credential: RPH
Phone: 941-544-6727