Organization
LIVE GOOD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZI AGBASIONWE (VP)
(718) 221-9300
Entity
Organization
Contact information
Practice address
1025 NOSTRAND AVE, BROOKLYN, NY 11225-3508
(718) 221-9300
(718) 221-9302
Mailing address
PO BOX 250018, BROOKLYN, NY 11225-0018
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031732
NY
Other
Enumeration date
02/20/2013
Last updated
05/30/2013
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