Organization
LIBERTY AVE PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABU S AZAM RPH. (SP)
(718) 827-7528
Entity
Organization
Contact information
Practice address
1108 LIBERTY AVE, BROOKLYN, NY 11208-2922
(718) 827-7528
(718) 277-0193
Mailing address
1108 LIBERTY AVE, BROOKLYN, NY 11208-2922
(718) 827-7528
(718) 277-0193
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
024286
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900921
—
NY
Enumeration date
02/24/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us