Organization
NEW LONDON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVGERINI MOUZAKITIS-FAZIO (SUPERVISING PHARMACIST AND OWNER)
(212) 243-4987
Entity
Organization
Contact information
Practice address
241 W 23RD ST, NEW YORK, NY 10011-2320
(212) 243-4987
(212) 243-7110
Mailing address
241 W 23RD ST, NEW YORK, NY 10011-2320
(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
05/19/2026
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