Organization
LYDIG AVENUE PHARMACY CORP
Active
Other names
LYDIG AVENUE PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ABID JAVAID (PHARMACIST)
(718) 678-8700
Entity
Organization
Contact information
Practice address
742 LYDIG AVE, BRONX, NY 10462-2104
(718) 678-8700
(718) 678-8777
Mailing address
742 LYDIG AVE, BRONX, NY 10462-2104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
026027
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02397304
—
NY
01
—
3332688
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
08/19/2011
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