Organization
LEZRX INC
Active
Other names
LEZRX INC
Organization subpart
No
Provider details
NPI number
Authorized official
LESLY DESARME (OWNER)
(845) 626-1278
Entity
Organization
Contact information
Practice address
4737 ROUTE 209, LOT 2, ACCORD, NY 12404-5754
(845) 626-1278
(845) 626-1177
Mailing address
PO BOX 505, ELLENVILLE, NY 12428-0505
(845) 626-1278
(845) 626-1177
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028821
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02968367
—
NY
01
—
3357527
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/07/2008
Last updated
06/10/2011
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