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Organization

LUMEN PHARMACY INC

Active
Other names
LumenRx
Organization subpart
No

Provider details

NPI number
Authorized official
MARWAN AWADALLA PHARMD (SUPERVISING PHARMACIST / OWNER)
(718) 310-6120
Entity
Organization

Contact information

Practice address
6242 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 310-6120
(888) 518-5120
Mailing address
6242 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 310-6120
(888) 518-5120

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
08/28/2024
Last updated
08/29/2024
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