Organization
LG RX PHARMACY INC
Active
Other names
Brighton Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID PEVZNER (PRESIDENT)
(917) 933-9222
Entity
Organization
Contact information
Practice address
1055 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5662
(917) 933-9222
(917) 933-9220
Mailing address
1055 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5662
(917) 933-9222
(917) 933-9220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032679
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145022
PK
—
Enumeration date
02/16/2014
Last updated
02/22/2017
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