Organization
L. FERNANDEZ FARMACIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITZA A SALCEDO (PRESIDENT)
(718) 738-0500
Entity
Organization
Contact information
Practice address
12323 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2115
(718) 738-0500
(718) 738-5327
Mailing address
12323 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2115
(718) 738-0500
(718) 738-5327
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
019142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01177962
—
NY
Enumeration date
12/25/2005
Last updated
08/22/2020
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