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Organization

NEW LONDON PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN E FAZIO RPH (CHIEF PHARMACIST)
(212) 243-4987
Entity
Organization

Contact information

Practice address
246 8TH AVE, NYC, NY 10011
(212) 243-4987
(212) 243-7110
Mailing address
246 8TH AVE, NYC, NY 10011
(212) 243-4987
(212) 243-7110

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
8530
NY
3336C0004X
Compounding Pharmacy
8530
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00259045
NY
01
008530
LIC NUMBER
NY
01
3354432
NABP
NY
Enumeration date
11/01/2006
Last updated
03/07/2023
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