# LB PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kay Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609910017
- **Authorized official:** PRAKASH MADDALI (OFFICER)
- **Authorized official phone:** (973) 441-8470

## Contact information

- **Practice address:** 448 CHAMBERLAIN AVE, PATERSON, NJ 07522-1009
- **Practice address phone:** (973) 942-8296
- **Practice address fax:** (973) 942-1213
- **Mailing address:** 448 CHAMBERLAIN AVE, PATERSON, NJ 07522-1009
- **Mailing address phone:** (973) 942-8296
- **Mailing address fax:** (973) 942-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00421400 | NJ | Yes |

## Other

- **Enumeration date:** 02/18/2007
- **Last updated:** 12/21/2016