Organization
LEFFERTS PHARMACY INC
Active
Other names
KELLYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD AHAMD (SPH PRESIDENT)
(718) 439-6360
Entity
Organization
Contact information
Practice address
5825 5TH AVE, BROOKLYN, NY 11220-3819
(718) 439-6360
(718) 492-1234
Mailing address
5825 5TH AVE, BROOKLYN, NY 11220-3819
(718) 439-6360
(718) 492-1234
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024299
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900994
—
NY
01
—
2062028
PK
—
Enumeration date
11/04/2006
Last updated
12/13/2016
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