MEDICARE: EMILY LAI PHARM. D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS69802	FL

General Provider Information

NPI Number	:	1639023757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY LAI PHARM. D

Provider Business Mailing Address
First Line	:	9615 GREENBANK DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-8204
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 SANTA BARBARA BLVD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-4485
Country	:	US
Telephone Number	:	239-574-7987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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