# LYDIG AVENUE PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LYDIG AVENUE PHARMACY CORP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396750907
- **Authorized official:** MUHAMMAD ABID JAVAID (PHARMACIST)
- **Authorized official phone:** (718) 678-8700

## Contact information

- **Practice address:** 742 LYDIG AVE, BRONX, NY 10462-2104
- **Practice address phone:** (718) 678-8700
- **Practice address fax:** (718) 678-8777
- **Mailing address:** 742 LYDIG AVE, BRONX, NY 10462-2104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 026027 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 08/19/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02397304 | — | NY |
| 01 | — | 3332688 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |