| NPI | 1013266519 |
|---|---|
| Doing Business As | LUTHERAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SATYA DASARI President 718-492-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2015-12-17 |