Organization
LG DRUGS INC
Active
Other names
Gena Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NGOZI AGBASIONWE (SUPERVISING PHARMACIST)
(347) 424-6845
Entity
Organization
Contact information
Practice address
173 CHAUNCEY ST, BROOKLYN, NY 11233-2154
(718) 484-7166
Mailing address
PO BOX 330278, BROOKLYN, NY 11233-0278
(718) 484-7166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033495
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04232679
—
NY
Enumeration date
04/09/2015
Last updated
05/02/2016
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