Organization
LILY LOUIS CORPORATION
Active
Other names
Nathan's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LILY LOUIS SIDDIQUI (PRESIDENT)
(718) 975-4441
Entity
Organization
Contact information
Practice address
1901 BATH AVE, BROOKLYN, NY 11214-4714
(718) 975-4441
Mailing address
1901 BATH AVE, BROOKLYN, NY 11214-4714
(718) 975-4441
(718) 975-4442
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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