Organization
NEW LUCY'S PHARMACY INC
Active
Parent organization
NEW LUCY'S PHARMACY INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LUCY'S PHARMACY INC.
Authorized official
SAMIR M AWAD (PRESIDENT)
(973) 778-4495
Entity
Organization
Contact information
Practice address
286-288 MONROE ST, PASSAIC, NJ 07055-5271
(973) 778-4495
(973) 778-2746
Mailing address
286-288 MONROE ST, PASSAIC, NJ 07055-5271
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
28RS00681100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0536920
—
NJ
Enumeration date
09/21/2017
Last updated
09/21/2017
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