5407 Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Brooklyn, NY. Organization (NPI-2).
NPI number1801322706
StatusActive
Last updated in NPPESJan 18, 2023
Details
- NPI
- 1801322706
- Entity type
- Organization (NPI-2)
- Legal business name
- 5407 Pharmacy INC
- Organization subpart
- No
- Enumeration date
- May 11, 2017
- Certification date
- Jan 18, 2023
- Last updated
- Jan 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Other names
- Lutheran Pharmacy (Doing Business As)
Practice location
5407 2nd AveBrooklyn, NY 11220-2669
Phone 718-492-9800 · Fax 718-492-1900
Mailing address
5407 2nd AveBrooklyn, NY 11220-2669
Phone 718-492-9800 · Fax 718-492-1900
Authorized official
Dalia Choudhry
President
9175311213
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