Individual
CHARLES LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
781 LYDIG AVE, BRONX, NY 10462-2144
(718) 822-1348
(718) 822-1792
Mailing address
25 HILLCREST AVE, DARIEN, CT 06820-3707
(203) 348-6823
(203) 348-1231
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033418
NY
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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