Organization
LAGRASS PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANTZ P SAGESSE (PHARMACIST)
(718) 377-9400
Entity
Organization
Contact information
Practice address
2117 UTICA AVE, BROOKLYN, NY 11234-3844
(718) 377-9400
(718) 377-9401
Mailing address
2117 UTICA AVE, BROOKLYN, NY 11234-3844
(718) 377-9400
(718) 377-9401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04072395
—
NY
Enumeration date
10/22/2014
Last updated
07/02/2015
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