Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mycelium Pharmacy LLC

Organization Pharmacy · NPI 1487252391

Mycelium Pharmacy LLC is a Pharmacy in Ft Lauderdale, Florida. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

141 E Commercial Blvd
Ft Lauderdale, FL 33334-1623
Phone: (954) 616-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X

Record details

NPI number1487252391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Drew Lauter — Manager/Owner · (954) 890-1150
NPI enumeratedOctober 13, 2020
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025
Mailing address141 E Commercial Blvd, Ft Lauderdale, FL 33334-1623

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