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Organization

133 DRUG CORP

Active
Other names
LAKEVIEW PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY V FAZIO R.PH. (PRESIDENT)
(516) 599-4646
Entity
Organization

Contact information

Practice address
133 LAKEVIEW AVE, LYNBROOK, NY 11563-1742
(516) 599-4646
(516) 599-6383
Mailing address
133 LAKEVIEW AVE, LYNBROOK, NY 11563-1742
(516) 599-4646
(516) 599-6383

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
039982
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00383028
NY
Enumeration date
10/26/2006
Last updated
08/22/2020
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