Organization
LIGHT PHARMACY INC
Active
Other names
Light Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA KANAEVA (PRESIDENT)
(718) 872-7668
Entity
Organization
Contact information
Practice address
319 AVENUE X, BROOKLYN, NY 11223-5933
(718) 872-7668
(718) 872-7660
Mailing address
319 AVENUE X, BROOKLYN, NY 11223-5933
(718) 872-7668
(718) 872-7660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153418
PK
—
Enumeration date
07/27/2015
Last updated
01/06/2016
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