Organization
LORVEN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRIKANTH AITHARAJU (PRESIDENT)
(718) 349-2255
Entity
Organization
Contact information
Practice address
942 MANHATTAN AVENUE, BROOKLYN, NY 11222
(718) 349-2255
(718) 349-2260
Mailing address
942 MANHATTAN AVENUE, BROOKLYN, NY 11222
(718) 349-2255
(718) 349-2260
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
027285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664588
—
NY
Enumeration date
12/18/2006
Last updated
03/01/2017
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