Organization
LOLYS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANABERLIN BENCOSME (PRESIDENT)
(646) 727-6315
Entity
Organization
Contact information
Practice address
21 W 183RD ST, BRONX, NY 10453-1233
(917) 737-8253
(917) 737-8255
Mailing address
21 W 183RD ST, BRONX, NY 10453-1233
(917) 737-8253
(917) 737-8255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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