Organization
NELCO VET LLC
Active
Other names
Allerlogix
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERTO LOPEZ (OWNER)
(631) 242-3662
Entity
Organization
Contact information
Practice address
154 BROOK AVE, DEER PARK, NY 11729-7251
(631) 242-3662
(631) 242-3290
Mailing address
154 BROOK AVE, DEER PARK, NY 11729-7251
(631) 242-3662
(631) 242-3290
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
032267
NY
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148141
PK
—
Enumeration date
08/29/2014
Last updated
04/22/2015
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