Organization
L & C DRUG CORP
Active
Other names
BETHPAGE MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BOIM (PRESIDENT/OWNER)
(516) 796-4004
Entity
Organization
Contact information
Practice address
4277 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5709
(516) 796-4004
(516) 520-3033
Mailing address
4277 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5709
(516) 796-4004
(516) 520-3033
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029018
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03056631
—
NY
01
—
2139537
PK
—
Enumeration date
12/21/2006
Last updated
01/18/2017
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