Organization
LYONS PHARMACY
Active
Other names
Lyons Pharmacy Dept
Organization subpart
No
Provider details
NPI number
Authorized official
SO YOUNG PARK LEE RPH (OWNER, PIC, AO)
(646) 633-3950
Entity
Organization
Contact information
Practice address
471 LYONS AVE #79, IRVINGTON, NJ 07111
(973) 926-6496
(973) 926-6467
Mailing address
471 LYONS AVE #79, IRVINGTON, NJ 07111
(973) 926-6496
(973) 926-6467
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
28RS00751500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164545
PK
—
Enumeration date
10/11/2016
Last updated
03/01/2017
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