Organization
LB PHARMACY INC
Active
Other names
Kay Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PRAKASH MADDALI (OFFICER)
(973) 441-8470
Entity
Organization
Contact information
Practice address
448 CHAMBERLAIN AVE, PATERSON, NJ 07522-1009
(973) 942-8296
(973) 942-1213
Mailing address
448 CHAMBERLAIN AVE, PATERSON, NJ 07522-1009
(973) 942-8296
(973) 942-1213
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00421400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137389
PK
—
Enumeration date
02/18/2007
Last updated
12/21/2016
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