# LYONS PHARMACY

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

## Provider details

- **NPI number:** 1679023915
- **Authorized official:** SO YOUNG PARK LEE RPH (OWNER, PIC, AO)
- **Authorized official phone:** (646) 633-3950

## Contact information

- **Practice address:** 471 LYONS AVE \#79, IRVINGTON, NJ 07111
- **Practice address phone:** (973) 926-6496
- **Practice address fax:** (973) 926-6467
- **Mailing address:** 471 LYONS AVE \#79, IRVINGTON, NJ 07111
- **Mailing address phone:** (973) 926-6496
- **Mailing address fax:** (973) 926-6467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 28RS00751500 | NJ | Yes |

## Other

- **Enumeration date:** 10/11/2016
- **Last updated:** 03/01/2017