# LAN PHARMACY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164826962
- **Authorized official:** MS. DEIRDRE LAPHAUN CHATMON (OWNER)
- **Authorized official phone:** (347) 785-4936

## Contact information

- **Practice address:** 792 BROADWAY, BAYONNE, NJ 07002-3927
- **Practice address phone:** (201) 443-8808
- **Mailing address:** 792 BROADWAY, BAYONNE, NJ 07002-3927
- **Mailing address phone:** (201) 443-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 28RS00733800 | NJ | Yes |

## Other

- **Enumeration date:** 10/22/2014
- **Last updated:** 10/22/2014