Healthcare Provider Details

I. General information

NPI: 1912037557
Provider Name (Legal Business Name): L & T COMP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 MARINER BLVD
SPRING HILL FL
34609-5657
US

IV. Provider business mailing address

1248 MARINER BLVD
SPRING HILL FL
34609-5657
US

V. Phone/Fax

Practice location:
  • Phone: 352-684-8477
  • Fax: 352-684-6877
Mailing address:
  • Phone: 352-684-8477
  • Fax: 352-684-6877

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. UTTAM KUMAR PAKANATI
Title or Position: PRESIDENT
Credential:
Phone: 352-684-8477