Organization
LUMIT RX INC
Active
Other names
LUMIT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAVIKUMAR MAMIDELA (PRESIDENT/SUPERVISING PHARMACIST)
(718) 866-0629
Entity
Organization
Contact information
Practice address
200 E 167TH ST, BRONX, NY 10456-4004
(718) 866-0629
(718) 866-0630
Mailing address
200 E 167TH ST, BRONX, NY 10456-4004
(718) 866-0629
(718) 866-0630
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028838
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02958170
—
NY
01
—
2064390
PK
—
Enumeration date
09/12/2006
Last updated
09/03/2021
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