Organization
LM DRUG CORP
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A BAUMANDER RPH (OWNER PHARMACIST)
(845) 292-8200
Entity
Organization
Contact information
Practice address
1987 STATE ROUTE 52, STE 3, LIBERTY, NY 12754-8316
(845) 292-8200
(845) 292-9083
Mailing address
1987 STATE ROUTE 52, STE 3, LIBERTY, NY 12754-8316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
024129
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880244
—
NY
01
—
3300718
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/05/2006
Last updated
03/07/2023
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