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Organization
LYDIG AVENUE PHARMACY CORP
Active
Organization
LYDIG AVENUE PHARMACY CORP
Active
Other names
LYDIG AVENUE PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ABID JAVAID (PHARMACIST)
(718) 678-8700
Entity
Organization
Contact information
Practice address
742 LYDIG AVE, BRONX, NY 10462-2104
(718) 678-8700
(718) 678-8777
Mailing address
742 LYDIG AVE, BRONX, NY 10462-2104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026027
NY
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02397304
—
NY
01
—
3332688
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/19/2011
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