Organization
LISCIO PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN F GROSSO (OWNER)
(718) 547-3706
Entity
Organization
Contact information
Practice address
2498 WILLIAMSBRIDGE RD, BRONX, NY 10469-4806
(718) 547-3706
Mailing address
43 BIRCHWOOD LN, HARTSDALE, NY 10530-3124
(914) 328-0043
(718) 231-3919
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
008774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00260426
—
NY
Enumeration date
06/13/2006
Last updated
02/26/2008
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