=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699670711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MYERLAKE LABS LLC DBA PHARMALABS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2026
-----------------------------------------------------
Last Update Date | 10/09/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 14440 MYERLAKE CIR FL 33760
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33760-2813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-748-0999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14440 MYERLAKE CIR FL 33760
-----------------------------------------------------
City | CLEARWATER
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33760-2813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-748-0999
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF PHARMACY
-----------------------------------------------------
Name | YOUSSEF ISKANDAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-331-9783
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------