Organization
LGDK LLC
Active
Other names
SUGAR HILL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LEB GERSHKOVICH (MEMBER LLC)
(212) 281-8300
Entity
Organization
Contact information
Practice address
752 SAINT NICHOLAS AVE, NEW YORK, NY 10031-4002
(212) 281-8300
(212) 281-2500
Mailing address
752 SAINT NICHOLAS AVE, NEW YORK, NY 10031-4002
(212) 281-8300
(212) 281-2500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027351
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02703042
—
NY
01
—
2065660
PK
—
Enumeration date
11/03/2005
Last updated
03/30/2016
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