Organization
LIEB PHARMACY INC
Active
Other names
LIEB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAOUL DIAMANTSTEIN RPH (PRESIDENT)
(718) 633-5770
Entity
Organization
Contact information
Practice address
5006 16TH AVE, BROOKLYN, NY 11204-1404
(718) 633-5770
(718) 633-5772
Mailing address
5006 16TH AVE, BROOKLYN, NY 11204-1404
(718) 633-5770
(718) 633-5772
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019050
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00981071
—
NY
01
—
2064378
PK
—
Enumeration date
12/29/2006
Last updated
02/20/2017
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