Organization
LAGUARDIA PHARMACY INC.
Active
Other names
La guardia pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNAWAZ KHAN (SUPERVISOR)
(718) 478-2576
Entity
Organization
Contact information
Practice address
10122 ASTORIA BLVD, EAST ELMHURST, NY 11369-2059
(718) 478-2576
(718) 478-2142
Mailing address
10122 ASTORIA BLVD, EAST ELMHURST, NY 11369-2059
(718) 478-2576
(718) 478-2142
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032234
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03999328
—
NY
01
—
2142389
PK
—
Enumeration date
10/04/2013
Last updated
11/02/2023
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