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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