Organization
LIFE PHARMA II INC
Active
Other names
LIFE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RATHNA VEERAMOCHANANI (PRESIDENT)
(212) 694-5700
Entity
Organization
Contact information
Practice address
471 LENOX AVE, NEW YORK, NY 10037-3000
(212) 694-5700
(212) 694-5794
Mailing address
471 LENOX AVE, NEW YORK, NY 10037-3000
(212) 694-5700
(212) 694-5794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2070050
PK
—
05
—
3022882
—
NY
Enumeration date
12/19/2007
Last updated
02/20/2017
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