Organization
LERDS PHARMACY INC
Active
Other names
LERDS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RENATA GLIGICH PHARMACIST (OWNER PIC)
(718) 332-5330
Entity
Organization
Contact information
Practice address
1601 GRAVESEND NECK RD, BROOKLYN, NY 11229-4426
(718) 332-5330
(718) 332-5880
Mailing address
1601 GRAVESEND NECK RD, BROOKLYN, NY 11229-4426
(718) 332-5330
(718) 332-5880
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760245
—
NY
01
—
2068102
PK
—
Enumeration date
07/07/2006
Last updated
02/23/2017
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